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Importance of intraoperative identification of the vascular supply in a large (14cm) right pheochromocytoma

D Mutter, MD, PhD, FACS L Soler, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Nov 2009;09(11). URL: http://websurg.com/doi/vd01en2772

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  • 2009-11-16
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Laparoscopic adrenalectomy for large masses is a technically demanding procedure that should be undertaken by experienced laparoscopic surgeons familiar with retroperitoneal anatomy. In case of very large tumors, a primary vascular approach must prevail over any other types of dissection. This video shows the case of a patient presenting with a voluminous non-secreting adrenal tumor (with a diameter of 14cm) in which a primary laparoscopic approach is decided upon as performed conventionally.