Robotic-Assisted Left Adrenalectomy
Table of Contents
1. Introduction
- Discuss Patient Positioning
- Mark Port Positions
2. Access to the Abdominal Cavity and Placement of Ports
- Insufflation
- Place Optiview Trocar
- Place 8-mm Robotic Trocars
- Place 5-mm Assistant Trocar
3. Robot Docking
4. Access to Retroperitoneum
- Adhesiolysis
- Divide Peritoneum
- Mobilization of Spleen and Pancreas
- Mobilization of Distal Transverse Colon and Splenic Flexure
- Identify Phrenic Vein and Follow Through Retroperitoneum
5. Left Adrenal Gland Exposure and Dissection
- Identify Kidney and Dissect Along Border with Adrenal Gland
- Left Adrenal Vein Identification and Division Using Electrocautery
- Complete Resection of Adrenal Gland