Laparoscopic adrenalectomy is considered the standard of care for the surgical excision of the adrenal gland. Since the initial report of laparoscopic adrenalectomy in 1992, it has evolved into a feasible and reproducible minimally invasive procedure for both benign and malignant adrenal tumors.1 Transperitoneal and retroperitoneal approaches are the two principal laparoscopic routes to the adrenal gland.2,3 Both have proven to be safe and effective when compared with open adrenalectomy, and they offer the benefits of decreased blood loss, less postoperative pain, shorter hospital stay, rapid convalescence, and improved cosmetic outcome.4 Although the transperitoneal approach is used more widely, the retroperitoneal approach offers distinct advantages that make it a valuable alternative route to the adrenal gland. The retroperitoneal approach avoids colonic mobilization, the risk of injury to hollow viscera, and the potential risk of adhesion formation.
KeywordsAdrenal Gland Harmonic Scalpel Laparoscopic Adrenalectomy Adrenal Vein Retroperitoneal Approach
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