Laparoscopic transabdominal adrenalectomy

Adrenalectomy is an operation, which is particularly suitable for minimally -invasive techniques. In several surgical departments with special interest in endocrine disorders laparoscopic adrenalectomy has become the procedure of choice in the surgical treatment of benign adrenal lesions. In transabd ominal laparoscopic adrenalectomy the adrenal region is exposed by mobilizi ng the liver or the spleen respectively. The inferior vena cava and the lef t renal vein are the most important landmarks for further dissection and or ientation. Different retroperitoneoscopic approaches have been discribed be sides the transperitoneal techniques.