Laparoscopic Single-Incision Triangulated Umbilical Surgery Adrenalectomy for Large (>5 cm) Tumors of the Adrenal Gland: Initial Experience with 16 Cases

Figure 3

Intraperitoneal operation charts for the SITUS technique. (a) The left central adrenal vein and the left renal vein. (b) Cutting off the central adrenal vein. (c) Cutting off the connective tissue and blood vessels between the left adrenal tumor and the abdominal aorta. (d) The right central adrenal vein and the inferior vena cava. (e) Cutting off the right central adrenal vein. (f) The space between the right adrenal tumor and the Psoas major. S = spleen; LR = left kidney; LA = left adrenal gland (tumor); LACV = left adrenal gland central vein; LV = left renal vein; RA = right adrenal gland (tumor); RV = right renal vein; IVC = inferior vena cava; RACV = right adrenal gland central vein; RK = right kidney.

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