Laparoscopic right adrenalectomy of a large 8cm tumor compressing the Vena Cava. After dissection and isolation of adrenal gland from vital surrounding structures mainly the Vena Cava, hand assisted technique was used at the end in order to detach the adrenal from the posterior bed.
Adrenal tumor removal by laparoscopic approach has been shown to be as effective as traditional open surgeries with the major advantage of early recovery, shorter hospital stay, less post-operative pain and more favorable cosmetic results.
In this particular case, Aorto Cava space dissection was carefully performed, making sure the posterior Vena Cava is completely tumor free, thus avoiding major bleeding from Vena Cava or perforating lumbar veins.
In this clip, Dr Fouad Khoury demonstrates a laparoscopic right adrenalectomy for a large adrenal tumor compressing the Vena Cava.
LAPAROSCOPIC SURGERY FOR ADRENAL GLAND (left side)
Laparoscopic surgery for adrenal gland became the standard procedure for removal of adrenal tumors. When done in expert hands, even large tumors can be safely performed through this minimally invasive approach. It provides patients with less discomfort and equivalent oncologic results when compared to larger incisions required with traditional open surgeries.
In comparison to open adrenalectomy, the laparoscopic approach has been shown to result in less pain, significantly less blood loss, better cosmetic results, shorter hospital stay and early recovery.
In this procedure, Dr Fouad Khoury demostrates a laparoscopic left adrenalectomy of a large 7.5 cm tumor. As it is a non secreting tumor, the adrenal vein was dissected at the end of procedure after careful isolation and identification of surrounding structures.
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