Anterior Adrenalectomy:
Laparotomy and survey abdomen.
Left side= take down splenic flexure
Right side= take down hepatic flexure, kocherize the duodenum, take down right triangular ligament.
Enter gerota's fascia, start cephalad, and dissect towards renal hilum.
Dissect between adrenal and pancreas/spleen (left) or liver (right).
Identify adrenal vein and ligate (left side renal vein, right side off posterior surface of IVC).
Continue dissection over renal capsule.
Remove retroperitoneal fat with the adrenal gland.