The liver attachments to the adrenal kidney were divided, and the liver was reflected superiorly. The vena cava was identified, followed by the main renal vein. Superior to the main renal vein, staying right on the vena cava, all small vessels were clipped and divided. Along the superior pole of the kidney, the tumor was dissected free from the top of the kidney using clips and Bovie. The harmonic scalpel was utilized superiorly and laterally. Posterior attachments were divided between clips, and once the whole adrenal was mobilized, the adrenal vein and one large adrenal artery were noted, doubly clipped, and divided.