PREPRINT

  • 1. Introduction
  • 2. Surgical Approach
  • 3. Access and Placement of Ports
  • 4. Adrenal Gland Exposure
  • 5. Adrenal Gland Dissection
  • 6. Specimen Extraction via Endo Catch
  • 7. Hemostasis and Inspection
  • 8. Successful Medial Approach to and Ligation of Adrenal Vein
  • 9. Closure
  • 10. Post-op Remarks
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Right Posterior Retroperitoneoscopic Adrenalectomy (PRA) for Adrenocortical Adenoma

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Procedure Outline

  1. Patient positioning
  2. Mark Incisions
  1. Incisions
  2. Placement of Ports
  1. Development of Retroperitoneal Space
  2. Mobilization of Superior Pole of Right Kidney
  1. Mobilization of Plane Towards Liver
  2. IVC Exposure
  3. Approach Adrenal Vein Medially
  4. Approach Adrenal Vein Laterally if Necessary
  5. Adrenal Vein Ligation
  1. Port Site Hemostasis
  2. Suture Deep Layer
  3. Injection of Lidocaine
  4. Suture Superficial Layer
  5. Dressing