Laparoscopic left adrenalectomy for Conn's disease: transabdominal approach

This video demonstrates the surgical approach to a left adrenalectomy. The patient has a large (Cushing's) tumor of the gland. The surgeon uses a left lateral position. After mobilizing the spleen and the tail of the pancreas, the surgeon identifies the adrenal vein and the accessory adrenal vein, and clips and divides them. He then proceeds to identify, clip, and divide the adrenal artery. The gland is then dissected off the diaphragm and the kidney and removed.