Right Pheochromocytoma Removed in Just 9 Minutes | Unedited Adrenal Surgery with Dr. Carling скачать в хорошем качестве

Right Pheochromocytoma Removed in Just 9 Minutes | Unedited Adrenal Surgery with Dr. Carling

Watch as Dr. Tobias Carling, one of the world’s leading adrenal surgeons, performs a completely unedited right mini-back scope adrenalectomy to remove a pheochromocytoma in just 9 minutes. This video shows the procedure in real time—no edits, no speed-ups—giving you a clear look at the surgical precision and technique involved. The patient, a 32-year-old female with classic symptoms and biochemical confirmation of pheochromocytoma, underwent preoperative alpha-blockade before this expertly executed operation. You’ll see the tumor being removed through a 12 mm incision using a minimally invasive posterior approach, with near-zero blood loss and complete tumor control. The Carling Adrenal Center, based at the Hospital for Endocrine Surgery in Tampa, Florida, is the highest-volume adrenal surgery center in the world. Dr. Carling specializes in minimally invasive adrenal surgery, offering personalized, curative care for patients with adrenal tumors from around the globe. For more information, visit us at www.adrenal.com 00:59 Patient background: 32-year-old female with classical pheochromocytoma symptoms and 30x elevated plasma metanephrines 01:52 Imaging and preparation: 3 cm right adrenal tumor identified on CT; preoperative alpha blockade administered for 2 weeks 02:50 Surgical approach: Retroperitoneal laparoscopic adrenalectomy with a 12 mm incision below the 12th rib and two additional 5 mm ports 04:05 Vascular control: Use of a ligature device to meticulously control small vessels and prevent bleeding 05:20 Tumor handling: Careful mobilization of tumor from inferior vena cava, avoiding tumor cell spillage and catecholamine release 06:55 Vein ligation: Precise ligation of the short right adrenal vein underneath the tumor using the ligature device 08:50 Specimen retrieval: Tumor placed in an endoscopic bag and removed through the initial incision to avoid contamination