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Laparoscopic adrenalectomy: typical vascular anatomy and 3 major venous variations

D Mutter, MD, PhD, FACS F Costantino, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Oct 2009;09(10). URL: http://websurg.com/doi/vd01en2673

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  • 2009-10-15
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The laparoscopic approach to adrenalectomy is based on the identification of vascular landmarks. We present a typical case of right adrenalectomy using 4 ports: one epigastric port to retract the liver, three subcostal ports to explore and dissect the adrenal fossa. This is a very interesting video in which we disclose vascular anomalies. A very good exposure of the operative field and the absence of bleeding during the procedure contribute to the perfect identification of these anatomical anomalies.