Posterior Retroperitoneoscopic Right Cortical-Sparing Adrenalectomy
The posterior retroperitoneoscopic adrenalectomy is a minimally invasive approach to resect nonmalignant lesions of the adrenal gland. The benefits of the approach include minimal postoperative recovery, the ability to perform a bilateral resection without repositioning, and the avoidance of adhesions from prior abdominal surgery. We describe a cortical-sparing approach that is useful to treat pheochromocytoma in the setting of hereditary syndromes. With this approach, unaffected adrenal cortex is spared in an attempt to avoid future reliance on steroid supplementation in the event of a pheochromocytoma recurrence. Keys to the success of this operation include an understanding of the anatomic position of the pheochromocytoma based on preoperative imaging, identification of the appropriate anatomic landmarks intraoperatively, and the preservation of blood supply to the remnant adrenal gland.
KeywordsHereditary pheochromocytoma Minimally invasive adrenalectomy Posterior retroperitoneoscopic adrenalectomy Cortical-sparing adrenalectomy Retroperitoneoscopic adrenalectomy
Posterior retroperitoneoscopic right cortical-sparing adrenalectomy (MP4 45157 kb)