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Join Dr. Tobias Carling as he performs a function-preserving (partial) left adrenalectomy in real time, removing a 1.9 cm aldosterone-producing tumor in just 5 minutes and 26 seconds. This mini-back scope adrenalectomy allows the preservation of healthy adrenal tissue, avoiding adrenal insufficiency in a patient with primary hyperaldosteronism. This technique reflects the standard of care at the Carling Adrenal Center, where partial adrenalectomy is prioritized for patients with benign hormone-producing tumors. The operation ensures rapid recovery and precise tumor removal while protecting long-term adrenal function. The Carling Adrenal Center is the world’s foremost destination for adrenal surgery, located within the Hospital for Endocrine Surgery in Tampa, Florida. Dr. Carling and his team offer unmatched expertise in adrenal tumors, pioneering advanced surgical approaches for patients from all over the world. For more information, visit us at www.adrenal.com 00:06 Introduction to a function-preserving left adrenalectomy removing an aldosterone-producing tumor. 00:46 Mini back scope adrenalectomy described as the standard care for benign adrenal lesions with reduced morbidity and faster recovery. 01:29 Patient profile: 45-year-old female with primary hyperaldosteronism and a 1.9 cm adrenal tumor. 02:14 Surgical access via a 12 mm incision and creation of the retroperitoneal working space. 03:02 Preservation strategy spares the adrenal vein to maintain function in the remaining adrenal tissue. 04:15 Partial adrenal gland removal with maintained vascularization indicated by controlled bleeding. 05:12 Tumor specimen safely extracted in an endoscopic retrieval bag to prevent spillage.