title: Successful left adrenalectomy for metastatic hepatocellular carcinoma using hand-assisted laparoscopic surgery: report of a case.
abstract: A 56-year-old man diagnosed a having multiple hepatocellular carcinoma (HCC) with liver cirrhosis underwent transcatheter arterial embolization (TAE). Five months later, recurrent HCC was detected in the liver as well as in the left adrenal gland. A second TAE was performed to treat the intrahepatic recurrence, which was followed by hand-assisted laparoscopic surgery (HALS) for the metastatic tumor in the left adrenal gland. The combination of the two procedures successfully controlled HCC. To our knowledge, this is the first report describing an adrenalectomy by HALS for adrenal metastasis from an HCC.
authors.affiliation: Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
authors.forename: Fumio
authors.initials: F
authors.lastname: Kitaoka
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
authors.forename: Sadayuki
authors.initials: S
authors.lastname: Okudaira
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Tajima
authors.forename: Junichiro
authors.initials: J
authors.lastname: Furui
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000556:secondary* / Q000601:surgery* / Q000628:therapy; D000315:Adrenalectomy / Q000379:methods*; D006528:Carcinoma, Hepatocellular / Q000556:secondary* / Q000601:surgery* / Q000628:therapy; D004621:Embolization, Therapeutic; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000628:therapy