OPERATION: Laparoscopic Adrenalectomy — [Right / Left] — [Transabdominal Lateral Approach]
ANAESTHETIC: General anaesthesia
POSITION: Lateral decubitus, [right / left] side up. Table flexed at waist to maximise costiliac space. Urinary catheter. VTE prophylaxis.
INDICATION:
[Phaeochromocytoma / Cushing's adenoma / Conn's adenoma (aldosteronoma) / non-functioning incidentaloma >4 cm / adrenal metastasis]. Preoperative biochemical confirmation and appropriate endocrine review completed. [For phaeochromocytoma: alpha-blockade established pre-operatively]. Imaging: CT/MRI [size, laterality, characteristics].
PROCEDURE:
WHO Checklist performed. Patient prepared and draped widely (nipple to ASIS, midline anteriorly, spine posteriorly).