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.
Login Register
  • 2434
  • 2016-06-13

LIVE INTERACTIVE SURGERY: laparoscopic left adrenalectomy: retroperitoneal access

Epublication WebSurg.com, Jun 2016;16(06). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
Retroperitoneal adrenalectomy (posterior approach) provides a direct access to the adrenal gland, hence preventing the risk of injury to intraperitoneal organs. The retroperitoneoscopic approach shortens the mean operative time and it is critical in cases of pheochromocytoma. Consequently, it is the recommended treatment for pheochromocytoma. Blood loss and the convalescence period are also shortened with this approach. The surgical principles of retroperitoneal adrenalectomy according to Professor Martin Walz are as follows: ‘en bloc’ resection, start of dissection with the upper pole of kidney, lower pole of the adrenal gland next, control of the main adrenal vein without clips, and morcellation of the gland if necessary in a bag.