Tag Archives: retroperitoneum

Exposing the right sided adrenal gland

Right Triangular Ligament of the Liver

  • Take down the right triangular ligament of the liver to expose the right adrenal gland.
  • Gland is right next to the vena cava (IVC = inferior vena cava)

Open right adrenalectomy

  • Mobilize the right lobe of the liver and the hepatic flexure of the colon
  • Enter the retroperitoneum
  • Reflect the duodenum and head of pancreas medially (Kocher maneuver)
  • The Kocher maneuver exposes the right adrenal gland and inferior vena cava.