Adrenalectomy: a retroperitoneal procedure

Salvage Technique for Intraoperative Hemorrhage during Laparoscopic Resection of Large Pheochromocytoma: A Case Report and Literature Review

“…We, as well as many, believe that the transperitoneal approach offers more familiar anatomic landmarks to general or endocrine surgeons for orientation than those described in extraperitoneal approaches. 25,26 Apart from that, the transperitoneal approach also allows us to gain easier direct access to the adrenal vein in order for us to ligate it prior to manipulation of the gland. Unfortunately, this complex tumor was covered with multiple tortuous feeding vessels, preventing us from isolating the adrenal vein first.…”