Imaging demonstrates a multinodular 5cm–6cm large cyst-like mass in the region of the left adrenal, clinically confirmed as pheochromocytoma.
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CT findings
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Trocar positioning
Perform medial 2cm long minilaparotomy in left upper quadrant for the trocar of the laparoscope and then initiate pneumoperitoneum. After exploration of the abdominal cavity introduce two more working trocars – one 5mm trocar in the left upper quadrant and a Versa-Port V12 anterior to the 11thrib.
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Freeing the descending colon
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Opening the prerenal space
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Dissecting the spleen off the diaphragm
Exposing the superior left retroperitoneum
Under gentle traction first mobilize the spleen and then the pancreatic tail step by step mediad. .
Under gentle traction first mobilize the spleen and then the pancreatic tail step by step mediad. .
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