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Title
1. Introduction
2. Surgical Approach
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a. Patient Positioning
b. Mark Incisions
3. Access and Placement of Ports
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a. Incisions
b. Placement of Ports
4. Adrenal Gland Exposure
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a. Development of Retroperitoneal Space
b. Mobilization of Superior Pole of Right Kidney
5. Adrenal Gland Dissection
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a. Mobilization of Plane Towards Liver
b. IVC Exposure
c. Approach Adrenal Vein Medially
d. Approach Adrenal Vein Laterally if Necessary
e. Adrenal Vein Ligation
6. Specimen Extraction via Endo Catch
7. Hemostasis and Inspection
8. Successful Medial Approach to and Ligation of Adrenal Vein
9. Closure
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a. Port Site Hemostasis
b. Suture Deep Layer
c. Injection of Lidocaine
d. Suture Superficial Layer
e. Dressing
10. Post-op Remarks
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Right Posterior Retroperitoneoscopic Adrenalectomy (PRA) for Adrenocortical Adenoma
Neeta Erinjeri, MD
;
Tobias Carling, MD, PhD, FACS
Yale School of Medicine
Tags:
General Surgery
Oncologic Surgery
Main Text
Procedure Outline
Transcript
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Authors
Neeta Erinjeri, MD
Tobias Carling, MD, PhD, FACS
Filmed At:
Smilow Cancer Hospital at Yale New Haven
Article Information
Publication Date
11/16/2022
Article ID
244
Production ID
0244
Volume
2022
Issue
244
DOI
https://doi.org/10.24296/jomi/244