ABSTRACT
Answer: (c) Laparoscopy provides an improvement in cosmesis and postoperative pain management with shorter returns to activity. However, this comes at an increased cost.
2. The fundamental principle for laparoscopic adrenalectomy is:
(a) Always mobilize the duodenum when approaching the right adrenal gland
(b) Secure adrenal gland with noncrushing grasper when dissecting gland
(c) Retroperitoneal access should be attempted prior to transperitoneal dissection
(d) An attempt should be made to dissect the patient away from the adrenal gland
Answer: (d) Every attempt should be made not to manipulate the adrenal gland during dissection. The surgical dictum “ dissect the patient away from the adrenal gland ” should be adhered to if at all possible.
