The imaging shows an approximately 5-6 cm large, multinodular, cystic-appearing mass in the region of the left adrenal gland, which has been clinically identified as a pheochromocytoma.
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Computed Tomography Findings
![Computed Tomography Findings]()
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Trocar Positioning
![Trocar Positioning]()
Establishment of the capnoperitoneum after a 2 cm long minilaparotomy in the left middle upper abdomen as access for the optical trocar. After inspection of the abdominal cavity, insertion of two additional working trocars, 5 mm in the left epigastrium and a 12 mm trocar ventral to the left 11th rib.
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Mobilization of the descending colon
![Mobilization of the descending colon]()
Soundsettings The descending colon is pulled medially and the retroperitoneum is incised in the avascular layer in front of the left kidney.
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Opening of the prerenal space
![Opening of the prerenal space]()
Soundsettings The approach to the left adrenal gland is made laterally by progressively releasing the left flexure from the retroperitoneum until the anterior surface of Gerota's fascia or the renal capsule is largely exposed.
Note: In slender patients, it is difficult to preserve the Gerota fascia.
Detachment of the spleen from the diaphragm
Now, the suspensory ligaments of the spleen to the diaphragm and to the kidney are divided, in orde
Now, the suspensory ligaments of the spleen to the diaphragm and to the kidney are divided, in orde
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