Laparoscopic bilateral partial adrenalectomy for XXXX .

@entity1 @entity190 @entity5 @entity1911
INTRODUCTION: To describe the technique of transperitoneal laparoscopic bilateral synchronous partial adrenalectomy in a @entity1 with bilateral @entity1911 . TECHNICAL CONSIDERATIONS: An 81-year-old @entity1 with bilateral @entity1911 underwent bilateral laparoscopic partial adrenalectomy. A three-port transperitoneal approach was used for each side, with an additional port for liver retraction during right partial adrenalectomy. Laparoscopic flexible ultrasonography was invaluable for localizing the @entity5 and for precise planning of the line of excision. The right main adrenal vein was preserved. Dissection and enucleation of the @entity5 and parenchymal hemostasis was achieved effectively using a harmonic scalpel. The total operative time was 2 and 2.5 hours for the left and right adrenal gland, respectively. No major intraoperative hemodynamic instability was noted. The @entity190 was 150 mL, and the hospital stay was 4 days. Pathologic examination confirmed bilateral @entity1911 . CONCLUSIONS: Laparoscopic partial adrenalectomy for @entity1911 is safe and technically feasible. Intraoperative ultrasonography is helpful to accurately plan resection of the @entity5 . If @entity5 location permits, the main adrenal vein should be preserved to ensure adequate vascularity for the adrenal remnant.
