Laparoscopic posterior retroperitoneoscopic adrenalectomy
Epublication WebSurg.com, Jun 2016;16(06). URL: http://websurg.com/doi/lt03enwalz008
In this video, Professor Martin Walz presents the main principles of laparoscopic retroperitoneoscopic adrenalectomy. The patient lies in a prone position with the adrenal gland being approached posteriorly beneath the 12th rib, thereby allowing for a direct access to the retroperitoneum and adrenal gland without the need for intra-abdominal organ mobilization. Carbon dioxide pressure and camera position play a key role for better exposure and imaging. High insufflation pressures in the retroperitoneal space can also reduce troublesome bleeding. This approach remains the best option with no blood loss and reduced postoperative pain, less morbidity, a shorter hospital stay, and an earlier return to normal activities.