Traditionally, large adrenal tumors have been considered relative contraindications to laparoscopic adrenalectomy. However, with increasing experience with laparoscopic techniques, even giant tumors can be resected in a minimally invasive manner. We present two cases of laparoscopic adrenalectomy of giant adrenal tumors. The first case involves a 42 year old female with flank pain. Imaging revealed a 12 cm left adrenal mass. The video presents the challenging task of dissecting the mass off the tail of the pancreas and renal vasculature without breaking the capsule of the tumor or injuring adjacent structures. The second case involves a 42 year old male with a six cm right adrenal mass. The video presents the retraction and dissection of the liver off the mass, the dissection of the adrenal vein, and the dissection of the tumor off of the retroperitoneum. Inherent in both of these cases is the arduous task of manipulating and visualizing the giant tumors while trying to maintain adequate retraction for effective laparoscopic dissection. Both cases resulted in benign tumors pathologically.
Session: Podium Video Presentation
Program Number: V051