mis

Hot Keywords
Non-small cell lung cancer Artificial intelligence Gastroesophageal reflux Esophagectomy Thoracic surgery Atherosclerosis Robotic surgery Gastric cancer Lung cancer Lobectomy Complications Quality of life Rectal cancer

Top
Mini-invasive Surg 2021;5:[Accepted].10.20517/2574-1225.2021.77@The Author(s) 2021
Accepted Manuscript
Open AccessCase Report

Retroperitoneoscopic single site 3-D adrenalectomy for left adrenal renal cell carcinoma metastasis 20 years after left laparotomic radical nephrectomy


Correspondence Address: Dr. Richard Naspro, Department of Urology, Papa Giovanni XXIII Hospital, Piazza Oms 1, Bergamo 24125, Italy. E-mail: nasprorichard@gmail.com

...

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Abstract

The aim of the paper is to demonstrate the practicability of retroperitoneoscopic single site 3-D left adrenalectomy after previous homolateral laparotomic renal surgery. We present a case report of a 70-year-old male who underwent radical nephrectomy in 1999. Twenty years after radical nephrectomy, the patient underwent a computed tomography (CT) scan for B-cell lymphoma follow-up, which revealed a 30 mm left adrenal mass suspicious for a delayed renal-Cell Carcinoma metastasis. After multidisciplinary discussion, surgery was chosen as first option. To minimize surgical morbidity as much as possible, a 3-D laparoscopic single site retroperitoneal approach was chosen. The patient had no peri or intra-operative complications and was discharged on post-operative day 3. Final histological report revealed an adrenal Clear cell Renal-Cell Carcinoma (CRCC) metastasis. This experience shows that single site retroperitoneal laparoscopic adrenalectomy is possible in patients who underwent previous abdominal cancer surgery and is an option to consider when determining optimal approaches for adrenal surgery.

Cite This Article

Naspro R, La Croce G, Pellucchi F, Roscigno M, Rossini A, Cassibba S, Lerner L, Da Pozzo LF. Retroperitoneoscopic single site 3-D adrenalectomy for left adrenal renal cell carcinoma metastasis 20 years after left laparotomic radical nephrectomy. Mini-invasive Surg 2021;5:[Accept]. http://dx.doi.org/10.20517/2574-1225.2021.77

© 2016-2021 OAE Publishing Inc., except certain content provided by third parties