Fig. 4.

Operative findings of case 2. (A) The white line of Toldt was dissected using an articulating laparoscopic hook coagulator with an aid of the laparoscopic grasper. (B) The lienorenal ligament was incised, and the dissection was deepened through the plane between the colonic mesentery and Gerota's fascia retracting the pancreas and spleen medially with the laparoscopic grasper. (C) The left adrenal vein (arrow) was identified and isolated. (D) The tissues around the adrenal gland were completely dissected using the harmonic scalpel. Sp, spleen; Panc, pancreas; RV, renal vein.