This film includes the preoperative study as well as postoperative follow-up. This video shows the case of a patient diagnosed of suprarenal carcinoma, which fill most of the left hemi abdomen. Operation starts with left sub costal laparotomy, dissection of aortic surface and intercavoaortic space is performed. Renal artery and vein are dissected; the whole retroperitoneal fat tissue is removed. Involvement of the tail of the pancreas and spleen is evidenced.

Section of the celiac trunk with ligature and section of the splenic artery and coronary artery. When diaphragmatic involvement is demonstrated, section of the 50% of the left hemi diaphragm is performed, mobilizing thus the specimen. Infiltration of the left colonic angle is confirmed so the left transverse colon and left colon are sectioned. After the specimen removal, which includes left hemi diaphragm, suprarenal mass, left kidney, pancreas tail and spleen. End-to-end colo-colic anastomosis is performed.