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Laparoscopic Transabdominal Left Adrenalectomy

  • Timo W. HakkarainenEmail author
  • William B. InabnetIII
Chapter

Abstract

The general guidelines, indications for adrenalectomy, and preoperative considerations described in Chap.  3 are equally applicable for left-sided adrenal lesions. The dissection plane between the adrenal gland and the splenic hilum, including splenic vessels and tail of pancreas, is typically much less distinct than dissection on the right, and care must be taken to avoid injury to the structures mentioned. The tail of the pancreas and splenic vessels are particularly susceptible to injury. (See Figs. 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11, 4.12, 4.13, 4.14, 4.15, 4.16, and 4.17 and Video 4.1 for details.)

Keywords

Left-sided adrenal lesions Dissection plane Splenic flexure of the colon Retroperitoneum Gerota’s fascia Splenophrenic ligament 

Supplementary material

Video 4.1

Laparoscopic transabdominal left adrenalectomy (MP4 1490929 kb)

Suggested Reading

  1. Arenas M, Stewart A, Perrier N. Techniques of adrenalectomy. In: Pertsemelidis D, Inabnet W, Gagner M, editors. Endocrine surgery. 2nd ed. Boca Raton: CRC Press; 2017. p. 411–20.Google Scholar
  2. Brunt ML. Laparoscopic adrenalectomy. In: Eubanks WS, Swanström LL, Soper NJ, Leonard M, editors. Mastery of endoscopic and laparoscopic surgery. Philadelphia: Lippincott Williams & Wilkins; 2000. p. 320–9.Google Scholar
  3. Gagner M. Laparoscopic adrenalectomy with transabdominal approach. In: Pertsemelidis D, Inabnet W, Gagner M, editors. Endocrine surgery. 2nd ed. Boca Raton: CRC Press; 2017. p. 387–410.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryEvergreen Medical CenterKirklandUSA
  2. 2.Department of SurgeryIcahn School of Medicine at Mount SinaiNew YorkUSA

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