Posterior retroperitoneoscopic approach to the adrenal arteries



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].


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.


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.


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.


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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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Correspondence to Marco Lotti.

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

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Supplementary material 1 (MOV 265857 kb)

Supplementary material 1 (MOV 265857 kb)

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Lotti, M., Giulii Capponi, M. Posterior retroperitoneoscopic approach to the adrenal arteries. Surg Endosc 30, 5625 (2016).

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