Laparoscopic Left Adrenalectomy After a Partial Nephrectomy

Abstract

Abstract

Introduction:

This is a case of a 68-year-old woman with a past medical history of hypertension for 10 years, hyperaldosteronism, and a 3.4 cm left adrenal adenoma that had been slowly increasing in size for the past 5 years. Of note, she had a left lateral kidney mass excised that was reportedly benign 8 years prior.

Materials and Methods:

Upon a complete biochemical workup, we confirmed hyperaldosteronism and discovered mild hypercortisolemia. The patient was consented for a laparoscopic left adrenalectomy with the possibility of an open conversion in the case of a reoperative surgical field.

Results:

This video shows a laparoscopic approach in a left adrenalectomy after a partial nephrectomy.

Conclusions:

We demonstrate that it is feasible to attempt a minimally invasive laparoscopic approach in the setting of a reoperative surgical bed.

Consent:

Authors have received and archived patient consent for video recording/publication in advance of video recording of procedure.

No competing financial interests exist

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Runtime of video: 6 mins 28 secs