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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Marco Lotti, and Michela Giulii Capponi have no conflicts of interest or financial ties to disclose.
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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
- Posterior retroperitoneoscopic adrenalectomy
- Laparoscopic adrenalectomy
- Anatomy adrenal
- Adrenal vein