title: Laparoscopic left adrenalectomy during Roux-en-Y gastric bypass using a supragastric approach.
abstract: A 54-year-old female had a BMI of 44 kg/m(2), biliary colic, gastro-eophageal reflux disease, joint pain, hyperlipidemia, and diabetes type 2. Her medical history included complete remission of non-Hodgkin's lymphoma and prolactinoma since 1999. An abdominal CT scan demonstrated an incidental left adrenal tumor, which had increased in diameter from 2 cm to 3 cm in 6 months. A laparoscopic Roux-en-Y gastric bypass with ultrasonography and supragastric left adrenalectomy were performed successfully. Combined surgical procedures appear to be suitable for treatment of coexisting abdominal pathologic findings with minimally invasive surgery. A supragastric approach should be considered when planning a simultaneous gastric bypass and left adrenalectomy.
authors.affiliation: Department of Surgery, Laparoscopic Surgery, New York Presbyterian Hospital, Weill College of Medicine of Cornell University, New York, NY, USA.
authors.forename: Sergio Jose
authors.initials: SJ
authors.lastname: Bardaro
authors.forename: Michel
authors.initials: M
authors.lastname: Gagner
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D000315:Adrenalectomy; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D002763:Cholecystectomy; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D014057:Tomography, X-Ray Computed