XXXX . A serious complication during laparoscopic right adrenalectomy.

@entity1 @entity548 @entity3459 @entity652 @entity130
We report our experience with a case of @entity130 during laparoscopic right adrenalectomy. A laparoscopic right adrenalectomy was performed in a 22-year-old @entity1 who suffered from a right surrenalian @entity652 . Four trocars were used for the transperitoneal laparoscopic approach with the @entity1 in the lateral decubitus position. After isolation of the medial margin of the gland and clipping and sectioning of the main adrenal vein, the right side of the vena cava was injured during dissection of the right upper pole, due to the use of monopolar scissors. The @entity548 was managed immediately with the aid of fenestrated atraumatic forceps and an aspiration probe. A fifth trocar was inserted to evaluate the size of the lesion, which was then sutured laparoscopically with croised 5/0 nonresorbable stitches. No transfusion was needed. Operating time was 210 min. The post-operative course was uneventful. Hospital stay was 7 days. At 10-month follow-up, the @entity1 had no problems related to the intraoperative complication. Our preliminary experience shows that the laparoscopic approach enables safer management of lesions involving large abdominal vessels. We believe that the transperitoneal approach is the preferential route for laparoscopic adrenalectomies. @entity3459 can be dangerous and must be avoided when dissecting large vessels.
