Article

Laparoscopic left adrenalectomy during Roux-en-Y gastric bypass using a supragastric approach.

Department of Surgery, Laparoscopic Surgery, New York Presbyterian Hospital, Weill College of Medicine of Cornell University, New York, NY, USA.
Obesity Surgery (impact factor: 3.29). 08/2006; 16(7):919-23. DOI:10.1381/096089206777822403 pp.919-23
Source: PubMed

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.

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Keywords

54-year-old female
 
adrenal tumor
 
adrenalectomy
 
biliary colic
 
coexisting abdominal pathologic findings
 
diabetes type 2
 
gastro-eophageal reflux disease
 
joint pain
 
laparoscopic Roux-en-Y gastric bypass
 
minimally invasive surgery
 
non-Hodgkin's lymphoma
 
surgical procedures