Left side 6 cm adrenalectomy strictly adherent to kidney, renal vein and Caudal Vena Cava in a dog

Left side 6 cm adrenalectomy for a malignant tumor in a dog. Tumor was strictly adherent to left kidney, renal vein and Caudal Vena Cava. Dissection was firstly made from CVC in order to isolate the phrenicoabdominal vein and then the tumor was elevated and dissected from renal vein and omolateral kidney. Surgery performed by Dr Federico Massari