A case of port-site recurrence after laparoscopic adrenalectomy for solitary adrenal metastasis.
The case of a patient with bilateral adrenal metastases from lung cancer is described. A left open adrenalectomy at the time of the lung resection had a long-term curative effect. Several months later a right laparoscopic adrenalectomy was performed, but 2 months later a loco-regional recurrence with a port-site metastasis was diagnosed on the right side. Open adrenalectomy, by avoiding the potential for port-site metastasis, may be oncologically superior to laparoscopic adrenalectomy in this situation.
Weyhe
Dirk
D
Department of Surgery, St Josef-Hospital, Ruhr-University Bochum, Germany. d.weyhe@elis-stiftung.de
Belyaev
Orlin
O
Skawran
Sebastian
S
Müller
Christophe
C
Bauer
Karl-Heinz
KH
D000310:Adrenal Gland Neoplasms / Q000556:secondary* / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods; D000368:Aged; D006801:Humans; D010535:Laparoscopy; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D009364:Neoplasm Recurrence, Local; D012086:Reoperation