The adrenal psoas sign: surgical outcomes following a simple technique to maximize removal of extracortical adrenal tissue during bilateral laparoscopic adrenalectomy

Abstract

The psoas sign technique provides a clear view of the adrenal fossa and facilitates careful dissection of the anatomic planes around the adrenal gland. This technique is feasible, reproducible and in our experience allows for safe removal of both adrenal glands and all surrounding extracortical adrenal tissue.

Characteristics predicting clinical improvement and cure following laparoscopic adrenalectomy for primary aldosteronism in a large cohort

“…Our technique for laparoscopic adrenalectomy has been previously published. 21 Institutional Review Board approval was obtained. Patient demographics and preoperative disease characteristics were queried, including age at the time of surgery, sex, body mass index (BMI), mean preoperative systolic blood pressure, and mean diastolic blood pressure.…”

“…21 Over the 16 years, there were no conversions from a laparoscopic to an open approach. Mean operative time was similar for both left and right adrenalectomies, as was estimated blood loss, tumor size, and tumor weight.…”