Surgical Technique of Laparoscopic

Laparoscopic adrenalectomy was first described in 1992. This technique seemed to offer several advantages when compared to conventional surgery but the best laparo-scopic strategy is not yet well defined. To achieve safe and complete gland dissection for any pathology and patient, a technique based on a primary vascular control is proposed. This technique, which can be used for right and left adrenal-ectomy, is described, noting specific risks and dangers of each gland dissection. Adrenalectomy is performed via a transperitoneal route on a patient placed in a lateral posi-tion. All vessels are precisely identified, the main adrenal vein being ligated first. The three main arterial pedicles are separately dissected and controlled by clip application before section. Compared to conventional operative tech-niques, laparoscopic adrenalectomy appears to be safe an