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Posterior retroperitoneoscopic approach to the adrenal arteries

Abstract

Background

Differently from transperitoneal adrenalectomy, with the posterior retroperitoneoscopic approach adrenal arteries are dissected first [1, 2]. Knowledge of their position is pivotal as they are covered by peri-adrenal fat [3, 4].

Methods

Four posterior retroperitoneoscopic adrenalectomies were selected, in which adrenal arteries are dissected to show their path and how they can be localized among peri-adrenal fat.

Results

A video is presented herein, which focuses on surgical anatomy of adrenal arteries when approached during a posterior retroperitoneoscopic adrenalectomy. Details about relative positions between adrenal arteries and adjacent structures are considered and shown during their dissection.

Conclusions

The posterior retroperitoneoscopic approach offers a direct view of adrenal arteries and allows for their exposure and safe division in the early steps of adrenalectomy.

References

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    Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, Ommer A, Groeben H, Peitgen K, Janssen OE, Philipp T, Neumann HP, Schmid KW, Mann K (2006) Posterior retroperitoneoscopic adrenalectomy-results of 560 procedures in 520 patients. Surgery 140(6):943–948

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    Zhang X, Fu B, Lang B, Zhang J, Xu K, Li HZ, Ma X, Zheng T (2007) Technique of anatomical retroperitoneoscopic adrenalectomy with report of 800 cases. J Urol 177(4):1254–1257

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    Budhiraja V, Rastogi R, Asthana AK (2010) Renal artery variations: embryological basis and surgical correlation. Rom J Morphol Embryol 51(3):533–536

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    Dutta S (2010) Suprarenal gland-arterial supply: an embryological basis and applied importance. Rom J Morphol Embryol 51(1):137–140

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Author information

Correspondence to Marco Lotti.

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Disclosures

Marco Lotti, and Michela Giulii Capponi have no conflicts of interest or financial ties to disclose.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MOV 265857 kb)

Supplementary material 1 (MOV 265857 kb)

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Cite this article

Lotti, M., Giulii Capponi, M. Posterior retroperitoneoscopic approach to the adrenal arteries. Surg Endosc 30, 5625 (2016). https://doi.org/10.1007/s00464-016-4884-z

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Keywords

  • Posterior retroperitoneoscopic adrenalectomy
  • Laparoscopic adrenalectomy
  • Adrenalectomy
  • Suprarenal
  • Anatomy adrenal
  • Adrenal vein