Right Adrenalectomy:
As the first step, the liver was retracted, and subhepatic inferior vena cava was identified by mobilization of colon or duodenum if required. The peritoneum was incised to expose the lateral edge of vena cava and the superior edge of the renal vein. The dissection was extended from the superior border of the renal vein until the psoas muscle was exposed. The dissection was continued just lateral of the vena cava until the right adrenal vein was identified. Manipulating the adrenal gland was avoided to prevent the systemic release of catecholamines. The adrenal vein was controlled using Hem-o-Lock clips, and the dissection was continued to superiorly below the liver until the lateral abdominal wall was visualized. Once the medial dissection was completed, the lateral dissection was performed just as described for left adrenalectomy. The specimen was removed using an endopouch.