Port placement right adrenalectomy*

The peritoneal cavity is accessed with a Veress technique through a midclavicular, subcostal site. Three additional 5 mm ports are placed that include a flank port in the midaxillary line between the subcostal margin and the iliac crest, an epigastric port, and a medial subcostal port. One additional port may be needed to retract the liver. Once the adrenal gland is resected, it is captured in a laparoscopic bag that is placed through the 12 mm subcostal port site and removed by extending this incision as needed.