Robotic-Assisted Left Adrenalectomy
Hyunsuk Suh, MD
The Mount Sinai Hospital
Current evidence supports the use of robotic surgery as a method of minimally-invasive treatment for adrenal masses. This article presents the case of a robotic adrenalectomy (RA) for an adrenal tumor. Upon examination of the extracted 1.5-cm specimen, it exhibited typical characteristics of aldosterone-producing adenoma, including a golden tan color, well-circumscribed borders, and surrounding normal adrenal gland tissue and fat. The detailed demonstration of this surgical procedure in the accompanying video provides a thorough understanding of the latest advancements in robotic adrenal surgery, offering comprehensive insights into the nuanced techniques and emerging trends in the field.
Left Laparoscopic Transperitoneal Adrenalectomy for Aldosteronoma
Richard Hodin, MD
Massachusetts General Hospital
Unilateral aldosteronoma is best managed by adrenalectomy, with the laparoscopic approach being the preferred method. This is the case of a 48-year-old woman who had long-standing hypertension and hypokalemia and was found to have hyperaldosteronism and low renin levels. A CT scan showed a small mass in the left adrenal gland, and adrenal vein sampling showed higher levels of aldosterone on the left side than on the right, confirming a unilateral aldosteronoma.
Laparoscopic access was gained, the adrenal gland was exposed and dissected by controlling the periadrenal tissues with the harmonic scalpel, the adrenal vein was then ligated, and the adrenal gland was removed.
Right Posterior Retroperitoneoscopic Adrenalectomy (PRA) for Adrenocortical Adenoma
Neeta Erinjeri, MD; Tobias Carling, MD, PhD, FACS
Yale School of Medicine
Posterior retroperitoneoscopic adrenalectomy (PRA) allows the surgeon to approach the adrenal gland through the back rather than the more traditional laparoscopic transabdominal adrenalectomy (LTA) approach. This technique was popularized in Germany but is being used increasingly throughout the United States. Smilow Cancer Hospital at Yale New Haven was one of the early adopters of this technique in the US, and Dr. Tobias Carling presents the operation here.
Bilateral Retroperitoneoscopic Posterior Adrenalectomy with Cortical Sparing on Right Side
Smilow Cancer Hospital at Yale New Haven
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine
Taylor C. Brown, MD, MHS
Fellow, Endocrine Surgery
Yale School of Medicine
In this case, Dr. Carling at the Smilow Cancer Hospital at Yale New Haven performs a bilateral retroperitoneoscopic posterior adrenalectomy with cortical sparing on the right side on a 31-year-old female with bilateral pheochromocytoma in the setting of MEN2.
Bilateral Modified Radical Neck Dissection
Smilow Cancer Hospital at Yale New Haven
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine
In 2014, a now 61-year-old male had a total thyroidectomy and central neck dissection for bilateral papillary thyroid cancer with extrathyroidal extension. Now, after presenting with recurrent metastatic papillary thyroid cancer, Dr. Tobias Carling performs a bilateral modified radical neck dissection.
The New Gold Standard for Surgical Videos
