title: Posterior retroperitoneoscopic approach to the adrenal arteries.
abstract: Differently from transperitoneal adrenalectomy, with the posterior retroperitoneoscopic approach adrenal arteries are dissected first [1, 2]. Knowledge of their position is pivotal as they are covered by peri-adrenal fat [3, 4].
  
  
  
  Four posterior retroperitoneoscopic adrenalectomies were selected, in which adrenal arteries are dissected to show their path and how they can be localized among peri-adrenal fat.
  
  
  
  A video is presented herein, which focuses on surgical anatomy of adrenal arteries when approached during a posterior retroperitoneoscopic adrenalectomy. Details about relative positions between adrenal arteries and adjacent structures are considered and shown during their dissection.
  
  
  
  The posterior retroperitoneoscopic approach offers a direct view of adrenal arteries and allows for their exposure and safe division in the early steps of adrenalectomy.
authors.affiliation: Advanced Surgical Oncology Unit, Department of General Surgery 1, Papa Giovanni XXIII Hospital, Piazza OMS, 1, 24127, Bergamo, Italy. im.marco.lotti@gmail.com.
authors.forename: Marco
authors.identifier: 0000-0001-9463-2217
authors.initials: M
authors.lastname: Lotti
authors.affiliation: Advanced Surgical Oncology Unit, Department of General Surgery 1, Papa Giovanni XXIII Hospital, Piazza OMS, 1, 24127, Bergamo, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Giulii Capponi
mesh_terms: D000311:Adrenal Glands / Q000098:blood supply*; D000315:Adrenalectomy / Q000379:methods*; D001158:Arteries / Q000033:anatomy & histology* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods
keywords: Adrenal vein; Adrenalectomy; Anatomy adrenal; Laparoscopic adrenalectomy; Posterior retroperitoneoscopic adrenalectomy; Suprarenal