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  • Title
  • 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

Right Posterior Retroperitoneoscopic Adrenalectomy (PRA) for Adrenocortical Adenoma

18218 views

Neeta Erinjeri, MD; Tobias Carling, MD, PhD, FACS
Yale School of Medicine

General Surgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Surgical Approach
      1. 3. Access and Placement of Ports
        1. 4. Adrenal Gland Exposure
          1. 5. Adrenal Gland Dissection
            1. 6. Specimen Extraction via Endo Catch
              1. 7. Hemostasis and Inspection
                1. 8. Successful Medial Approach to and Ligation of Adrenal Vein
                  1. 9. Closure
                    1. 10. Post-op Remarks
                      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

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                      Authors

                      Filmed At:

                      Smilow Cancer Hospital at Yale New Haven

                      Article Information

                      Publication Date
                      Article ID244
                      Production ID0244
                      Volume2022
                      Issue244
                      DOI
                      https://doi.org/10.24296/jomi/244