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Invited Critique
April 2013

Variations on a Theme: Comment on “Variant Adrenal Venous Anatomy in 546 Laparoscopic Adrenalectomies”

Author Affiliations

Author Affiliations: Endocrine Oncology Branch, National Cancer Institute, Bethesda, Maryland.

JAMA Surg. 2013;148(4):384. doi:10.1001/jamasurg.2013.629

The number of adrenalectomies performed in the last 2 decades has almost doubled, and many of these procedures are being performed laparoscopically because of the improved patient outcomes associated with this surgical technique.1 Thus, knowledge of adrenal venous anatomy and its variations is important to avoid one of the common complications of an adrenalectomy, bleeding. Furthermore, in patients with pheochromocytoma, early identification and division of the adrenal vein(s) are often emphasized to minimize intraoperative hemodynamic instability.

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