A 45-year-old man presented with progressive hypertension uncontrolled by multiple meds. Urinary catecholamines were high, MIBG scan showed enhanced left adrenal uptake, and CT scan showed a small lesion in the left adrenal.
After a period of alpha and beta blockade, the patient was taken to the operating room for a laparoscopic transabdominal adrenalectomy. The position is shown.
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