TITLE

Laparoscopic Adrenalectomy for Metachronous Metastasis from Renal Cell Carcinoma

AUTHOR(S)
Bonnet, Stéphane; Gaujoux, Sébastien; Leconte, Mahaut; Thillois, Jean-Marc; Tissier, Frédérique; Dousset, Bertrand
PUB. DATE
August 2008
SOURCE
World Journal of Surgery;Aug2008, Vol. 32 Issue 8, p1809
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Metachronous adrenal metastases (AM) from renal cell carcinoma (RCC) are rare. We report our experience of surgical resection in this setting, with particular respect to laparoscopic approach and long-term outcome. A retrospective review of 11 patients who underwent adrenalectomy for metachronous AM from RCC was conducted between 2002 and 2005 in a tertiary referral center. CT scan findings were those of an adrenal mass ranging from 2 to 13 cm in diameter with a basal density of 12 to 28 Hounsfield Units and strong heterogeneous enhancement following contrast injection. The surgical procedure consisted of controlateral (n = 5), ipsilateral (n = 2), and bilateral (n = 1) laparoscopic adrenalectomy, whereas three patients underwent controlateral open adrenalectomy for adrenal mass >10 cm. Nine patients were recurrence-free with a median follow-up of 34 months. In the remaining two patients, lung metastases were discovered at postoperative months 28 and 11, respectively. The former patient is alive and free of disease recurrence 32 months after lung metastasis resection, whereas the latter is currently being treated with sunitinib. This study confirms that prolonged overall and disease free-survival can be achieved in selected patient after laparosocpic adrenalectomy for AM from RCC
ACCESSION #
33372934

 

Related Articles

  • Robotic assisted adrenalectomy: Is it ready for prime time? Xin Ling Teo; Sey Kiat Lim // Investigative & Clinical Urology;2016 supplement2, Vol. 57, pS130 

    Adrenal surgery is undergoing continuous evolution and minimally invasive surgery is increasingly being used for the surgical management of adrenal masses. With robotic-assisted surgery being a widely accepted surgical treatment for many urological conditions such as prostate carcinoma and renal...

  • Laparoscopic Adrenalectomy for Metachronous Metastases After Ipsilateral Nephrectomy for Renal-Cell Carcinoma. Abel, E. Jason; Karam, Jose A.; Carrasco, Alonso; Matin, Surena F. // Journal of Endourology;Aug2011, Vol. 25 Issue 8, p1323 

    AbstractBackground and Purpose:While laparoscopic adrenalectomy (LA) is considered the standard of care for removal of small adrenal masses, there are minimal data describing the feasibility and outcomes of LA after previous ipsilateral nephrectomy (PIN). The purpose of the study was to describe...

  • Contralateral tumor seeding of renal cell carcinoma mimicking late metastasis of liver after laparoscopic nephrectomy: A case report with review of the literature. Yüksel, Özgür Haki; Yildirim, Caglar; Ürkmez, Ahmet; Akan, Serkan; Verit, Ayhan // Archivio Italiano di Urologia, Andrologia: Organo Ufficiale di S;2015, Vol. 87 Issue 3, p256 

    Laparoscopic surgery has been increasingly used every day in the management of urologic malignancies. Even though it seems as a minimally invasive surgery, during these interventions tumor seeding, as seen in open surgery, confronts us as a rarely seen serious risk. Herein, we have reported a...

  • Port site metastasis after laparoscopic radical nephrectomy: A single-center experience. Kumar, V.; Mandhani, A.; Srivastava, A.; Ansari, M. S.; Singh, U. P.; Kapoor, R. // Indian Journal of Cancer;Jan-Mar2012, Vol. 49 Issue 1, p102 

    OBJECTIVE: To assess the incidence and review the probable etiologies of port site recurrence in patients undergoing laparoscopic radical nephrectomy. MATERIALS AND METHODS: One hundred thirty-six patients undergoing laparoscopic surgeries for renal malignancy, including 133 radical...

  • Laparoscopic Adrenalectomy: A Worthwhile Procedure Performed in a General Surgery Department. Ramacciato, Giovanni; Amodio, Pietro M.; Mercantini, Paolo; Petrocca, Sergio; Di Giacomo, Giovanni; Bellagamba, Riccardo; Ziparo, Vincenzo; Lombardi, Marco; Puce, Ernesto; Stipa, Francesco // American Surgeon;May2003, Vol. 69 Issue 5, p427 

    A laparoscopic procedure is considered the treatment of choice for adrenalectomy. We report the experience of a nonreferring unit for adrenal pathology; we have evaluated its safety and feasibility in a series of 40 patients. From 1994 to 2001, forty consecutive patients underwent laparoscopic...

  • Does Tumor Size Influence the Outcome of Laparoscopic Adrenalectomy? Kazaryan, Airazat M.; Mala, Tom; Edwin, Bjorn // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2001, Vol. 11 Issue 1, p1 

    Background: Laparoscopic adrenalectomy is safe and effective for small adrenal tumors, but its role for large adrenal tumors and the influence of tumor size on the outcome of laparoscopic adrenalectomy have been questioned. Patients and Methods: Thirty-one patients with unilateral adrenal tumors...

  • Laparoscopic Adrenalectomy for Adrenal Malignancy: A Preliminary Report Comparing the Short-Term Outcomes with Open Adrenalectomy. Kirshtein, Boris; Yelle, Jean D.; Moloo, Husein; Poulin, Eric // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2008, Vol. 18 Issue 1, p42 

    Background: The laparoscopic approach to adrenal malignancy remains a topic of debate. Methods: A retrospective analysis of patients who had an open or laparoscopic adrenalectomy for malignancy at a tertiary care center from 1995 to 2005 were included in this study. Results: Twenty-six cases...

  • Adrenal sparing surgery in the treatment of renal cell carcinoma: when is it possible? Autorino, R.; Di Lorenzo, G.; Damiano, R.; Perdonà, S.; Oliva, A.; D'Armiento, M.; De Sio, M. // World Journal of Urology;Aug2003, Vol. 21 Issue 3, p153 

    Despite the fairly low incidence of adrenal involvement, adrenalectomy continues to be performed routinely as part of radical nephrectomy. With the recent development of modern imaging techniques and their widespread use, the frequency of small, low stage renal cell carcinomas (RCC) has grown...

  • CITATIONS AND CLINICIANS' NOTES: RENAL CANCER.  // Current Medical Literature: Urology;2004, Vol. 10 Issue 3, p76 

    Presents several abstracts on renal cancer. "Prognostic Value of Multifocality on Progression and Survival in Localized Renal Cell Carcinoma," by H. Lang, V. Linder, M. Martin and H. Letourneux; "Safety and Efficacy of Partial Nephrectomy for All T1 Tumor Based on an International Multicenter...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics