Abstract

side. After identifying renal vein, adrenal vein is ligated. Following procedures are the same as on the right side. The camera scope is replaced to 5mm and inserted into 5mm working port, and 12mm port is used for delivering specimen. Drain is not inserted. RESULTS: There was significant improvement in average operation time(90 vs. 53min, p 0.003) and decrease in estimated blood loss(130 vs, 50mL, p 0.001) of the latter 33 unilateral laparoscopic adrenalectomy cases compared to the prior 33 cases. CONCLUSIONS: With the knowledge of anatomical structures near the adrenal glands, the surgical techniques introduced here in this video clip will help the surgeon with little experience on adrenalectomy to overcome the learning curve.

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