Posterior Retroperitoneoscopic Adrenalectomy for Large Adrenal Pheochromocytoma: A Case Report

Minimally invasive adrenalectomy has now become the preferred technique for adrenalectomies and can be done via transperitoneal laparoscopic and retroperitoneoscopic approaches. The retroperitoneal approach is generally suitable for <5 cm tumors, whereas the transperitoneal approach is preferred for larger tumors. We report an 8 cm right adrenal pheochromocytoma operated with a posterior retroperitoneoscopic approach without any surgical complications. The posterior retroperitoneoscopic approach for large adrenal tumors (>5 cm) considering its additional advantages is a reasonable alternative to the transperitoneal laparoscopic approach, in experienced hands.