Laparoscopic Right Adrenalectomy (Transperitoneal Approach)

  • Toni BeninatoEmail author
  • Quan-Yang Duh


A 44-year-old man was referred for evaluation of primary aldosteronism. He had hypertension for the previous 8 years and was on three antihypertensive medications. Evaluation after a pre-syncopal episode also revealed a potassium level of 2.5 mmol/L, for which he was taking potassium supplementation for the past year. He was otherwise healthy and in good physical condition. A CT scan showed a 1.0 × 1.2 × 0.8-cm right adrenal nodule with characteristics suggestive of an adenoma (Fig. 2.1). He had an aldosterone-to-renin ratio of 163. Adrenal vein sampling confirmed the presence of a right-sided aldosterone-producing lesion, and plans were made for laparoscopic right adrenalectomy.


Laparoscopic Transabdominal Transperitoneal Adrenalectomy 

Supplementary material

Video 2.1a

Laparoscopic right adrenalectomy (transperitoneal approach) (MP4 397170 kb)

Video 2.1b

Laparoscopic right adrenalectomy (transperitoneal approach) (MP4 386828 kb)

Video 2.1c

Laparoscopic right adrenalectomy (transperitoneal approach) (MP4 374945 kb)

Video 2.1d

Laparoscopic right adrenalectomy (transperitoneal approach) (MP4 375947 kb)

Suggested Reading

  1. Gagner M, Pomp A, Heniford BT, Pharand D, Lacroix A. Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg. 1997;226(3):238–46.CrossRefGoogle Scholar
  2. Pasternak JD, Epelboym I, Seiser N, Wingo M, Herman M, Cowan V, et al. Diagnostic utility of data from adrenal venous sampling for primary aldosteronism despite failed cannulation of the right adrenal vein. Surgery. 2016;159(1):267–73.CrossRefGoogle Scholar
  3. Scholten A, Cisco RM, Vriens MR, Shen WT, Duh QY. Variant adrenal venous anatomy in 546 laparoscopic adrenalectomies. JAMA Surg. 2013;148(4):378–83.CrossRefGoogle Scholar
  4. Seiser N, Duh QY. Laparoscopic adrenalectomy: transperitoneal approach. In: Clark OH, Duh QY, Gosnell JE, Kebebew E, Shen WT, editors. Textbook of endocrine surgery. 3rd ed. Philadelphia: Jaypee Brothers Medical Publishers; 2016.Google Scholar
  5. Zarnegar R, Young WF Jr, Lee J, Sweet MP, Kebebew E, Farley DR, et al. The aldosteronoma resolution score: predicting complete resolution of hypertension after adrenalectomy for aldosteronoma. Ann Surg. 2008;247(3):511–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryNew York Presbyterian Hospital-Weill Cornell MedicineNew YorkUSA
  2. 2.Department of SurgeryUniversity of California, San Francisco Mt. Zion Medical CenterSan FranciscoUSA

Personalised recommendations