Editing Surgery of the Adrenals (section)

== Surgery for Adrenal Cortical Carcinoma ==

=== Principles (7): ===
# No touch technique
# Preservation of the intact peritoneum on the anterior surface of the adrenal gland if no evidence of invasion through the overlying peritoneal layer
# En bloc resection of tumor with a wide margin of surrounding benign tissue outside the tumor capsule
# Strict preservation of an intact tumor capsule
# Exclusion of the remainder of the peritoneal cavity as much as possible using barriers such as laparotomy pads, plastic barriers, or drapes
# Minimizing of bleeding and fluid spillage into the peritoneal cavity
# Change of gloves, gowns, and instruments after removal of the tumor and prior to closure of the abdomen.