Laparoscopic Adrenalectomy

1
Laparoscopic Adrenalectomy
2
(No Transcript)
3
Right Adrenalectomy

• Key points
• Entire procedure based on avoiding injury to the
  Adrenal Vein and Inferior Vena Cava
• Utilize a No touch technique to dissect and
  identify the Adrenal Vein IVC
• Expose the adrenal by peeling away the peritoneum
  
• The diaphragm is always safe
• Dissect in the crackly tissue

4
Schematic Right Adrenal Anatomy
Liver
Adrenal
I
Kidney
V
C
5
Right Adrenalectomy
Liver
Adrenal
I
Kidney
V
C
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
(No Transcript)
16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
(No Transcript)
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
Left Adrenalectomy

• Avoid injury to the colon, spleen, pancreas, and
  adrenal vein
• Retraction and exposure are critical

26
P
A
Sp
27
Schematic Left Adrenalectomy Anatomy
Spleen
A
Pancreas
Colon
28
Schematic Left Adrenal Anatomy
Spleen
A
Kidney
Pancreas
Colon
Colon
29
(No Transcript)
30
(No Transcript)
31
(No Transcript)
32
(No Transcript)
33
(No Transcript)
34
Medial Rotation
35
Adrenal Localization
SpV
A
K
P
C
36
ADRENAL VEIN
37
(No Transcript)
38
(No Transcript)
39
(No Transcript)