Laparoscopic left adrenalectomy during Roux-en-Y gastric bypass using a supragastric approach.
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.
Bardaro
Sergio Jose
SJ
Department of Surgery, Laparoscopic Surgery, New York Presbyterian Hospital, Weill College of Medicine of Cornell University, New York, NY, USA.
Gagner
Michel
M
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