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. 2023 Sep 13;13:15148. doi: 10.1038/s41598-023-42269-w

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© The Author(s) 2023, corrected publication 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Key procedures of the PFSV and CAV trunk during retroperitoneal laparoscopic left adrenalectomy and the main positional relationship of intraoperative anatomical structures to each other. (a) The PFSV trunk, the surface of the upper kidney, and the inner surface of PFS; (b) The lateral margin of golden AD is visible when the upper edge of PFS is incised; (c) The perirenal fat of AD was completely separated; (d) The positional relationship between CAV and the lower pole of AD; (e) The CAV was ligated with three Hem-o-lock clips; f The PFSV emanates from the left RV and travels upward into the direction of the diaphragm. PFSV perinephric fat sac vein, PFS perinephric fat sac, AD adrenal gland, CAV central adrenal vein, KD kidney, RA renal artery.