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Posterior Retroperitoneoscopic Right Cortical-Sparing Adrenalectomy

  • Michael E. EggerEmail author
  • Nancy D. Perrier
Chapter

Abstract

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.

Keywords

Hereditary pheochromocytoma Minimally invasive adrenalectomy Posterior retroperitoneoscopic adrenalectomy Cortical-sparing adrenalectomy Retroperitoneoscopic adrenalectomy 

Supplementary material

Video 7.1

Posterior retroperitoneoscopic right cortical-sparing adrenalectomy (MP4 45157 kb)

References

  1. 1.
    Dickson PV, Alex GC, Grubbs EG, Ayala-Ramirez M, Jimenez C, Evans DB, et al. Posterior retroperitoneoscopic adrenalectomy is a safe and effective alternative to transabdominal laparoscopic adrenalectomy for pheochromocytoma. Surgery. 2011;150(3):452–8.CrossRefGoogle Scholar
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    Callender GG, Kennamer DL, Grubbs EG, Lee JE, Evans DB, Perrier ND. Posterior retroperitoneoscopic adrenalectomy. Adv Surg. 2009;43:147–57.CrossRefGoogle Scholar
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    Grubbs EG, Rich TA, Ng C, Bhosale PR, Jimenez C, Evans DB, et al. Long-term outcomes of surgical treatment for hereditary Pheochromocytoma. J Am Coll Surg. 2013;216(2):280–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of LouisvilleLouisvilleUSA
  2. 2.Department of Surgical Oncology, Division of SurgeryUniversity of Texas M. D. Anderson Cancer CenterHoustonUSA

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