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1. Introduction
2. Surgical Approach
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a. Position Patient
b. Inject Anesthesia for Local Cervical Block
3. Accessing Adrenal Gland and IVC
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a. Make 10 mm Port Incision
b. Place 10 mm and 5 mm Ports
c. Mobilize Retroperitoneum
d. Mobilize Superior Pole of the Kidney
e. Mobilize Plane Towards Liver
f. Separate IVC
4. Removing Adrenal Gland
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a. Approach Adrenal Vein Medially
b. Approach Adrenal Vein Laterally (If Necessary)
c. Ligate Adrenal Vein
d. Remove Tumor via Endo Catch Bag
5. Successful Medial Approach to Adrenal Vein and Ligation
6. Closure
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a. Hemostasis
b. Suture Deep Layer
c. Inject Lidocaine
d. Suture Superficial Layer
e. Apply Bandages
7. Post-Op Remarks
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Right Posterior Retroperitoneoscopic Adrenalectomy (PRA)
Tobias Carling, MD, PhD, FACS;
Neeta Erinjeri, MD
Yale School of Medicine
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General Surgery
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Authors
Tobias Carling, MD, PhD, FACS
Neeta Erinjeri, MD
Filmed At:
Smilow Cancer Hospital at Yale New Haven
Article Information
Publication Date
N/A
Article ID
244
Production ID
0244
Volume
N/A
Issue
244
DOI
https://doi.org/10.24296/jomi/244