We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

  • 2543
  • 2008-01-15

Laparoscopic right adrenalectomy for Conn's adenoma using ultrasonic shears

Epublication WebSurg.com, Jan 2008;08(01). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
This video very clearly displays all the salient points of the performance of a right adrenalectomy with particular emphasis on the control of the vascular supply. After controlling the venous landmarks, the authors move to control the main arteries of the adrenal gland. The authors identify the medial and superior pedicles and completely dissect them, gaining control with a one-clip application. The medial pedicle is only 1cm from the aorta. Severe bleeding may ensue, so they control the superior pedicle originating from the diaphragmatic artery with a clip. Identifying these arteries allows the authors to perform a complete removal of the adrenal gland and its surrounding fat. They clearly identify the renal artery, the renal vein just above it, and the inferior pedicle, which is also controlled with a simple clip application. At this point, the gland can be completely mobilized medially and inferiorly.