Adrenalectomy

Most adrenal neoplasms are amenable to laparoscopic approach because of small size and benign nature. The right adrenal gland is pyramidal in shape and lies superior to the right kidney. Laparoscopic right adrenalectomy is easier than left adrena-lectomy but can be more hazardous due to shorter adrenal vein that empties into the vena cava. The left adrenal gland is more flattened and in intimate contact with the medial aspect of the superior pole of left kidney. The key to laparoscopic resection is complete division of the splenorenal ligament superiorly to the diaphragm and mobilization of the spleen medially.

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