Laparoscopic Transabdominal Left Adrenalectomy

The general guidelines, indications for adrenalectomy, and preoperative considerations described in Chap. 3 are equally applicable for left-sided adrenal lesions. The dissection plane between the adrenal gland and the splenic hilum, including splenic vessels and tail of pancreas, is typically much less distinct than dissection on the right, and care must be taken to avoid injury to the structures mentioned. The tail of the pancreas and splenic vessels are particularly susceptible to injury. (See Figs. 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11, 4.12, 4.13, 4.14, 4.15, 4.16, and 4.17 and Video 4.1 for details.)