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The adrenal glands are a potential site of metastasis for various malignancies. Although laparoscopic adrenalectomy is the gold standard approach for adrenal gland diseases, it is controversial for primary or metastatic adrenal cancers because when adrenal metastases are symptomatic, the adrenal mass is usually adjacent to or has invaded the vena cava inferior (VCI), liver, or kidney. Laparoscopic adrenalectomy is difficult to perform in such cases. Described herein is laparoscopicdoi:10.14744/less.2013.80299 fatcat:zor7xjrmszf27hckpu4an6fdqi