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Left Robotic Transperitoneal Adrenalectomy

  • Claire Nomine-Criqui
  • Cyrille Buisset
  • Laurent Bresler
  • Laurent BrunaudEmail author
Chapter
  • 234 Downloads

Abstract

A 59-year-old woman underwent an adrenal screening for hirsutism (face, chest). She had no clinical signs of hypercorticism. Laboratory investigations demonstrated increased plasma testosterone levels (twice the upper normal limit) and a markedly increased SDHEA level (ten times upper normal limit). Urinary free cortisol level was normal. Imaging studies showed a left adrenal mass of about 5 cm consistent with a cortical tumor without aggressive imaging characteristics. Contralateral adrenal gland and ovaries were normal. FDG-PET scan showed a moderate uptake at the left adrenal gland (tumor/liver SUV ratio = 2.1).

Keywords

Adrenal Adrenalectomy Robot-assisted Laparoscopy Transperitoneal Endocrine surgical procedures Adrenal gland neoplasms Surgery Computer-assisted surgery 

Supplementary material

Video 8.1a

Left robotic transperitoneal adrenalectomy (MP4 424463 kb)

Video 8.1b

Left robotic transperitoneal adrenalectomy (MP4 464503 kb)

Video 8.1c

Left robotic transperitoneal adrenalectomy (MP4 408235 kb)

References

  1. 1.
    Shen WT, Sturgeon C, Duh QY. From incidentaloma to adrenocortical carcinoma: the surgical management of adrenal tumors. J Surg Oncol. 2005;89:186–92.CrossRefGoogle Scholar
  2. 2.
    Nomine-Criqui C, Germain A, Ayav A, Bresler L, Brunaud L. Robot-assisted adrenalectomy: indications and drawbacks. Updat Surg. 2017;  https://doi.org/10.1007/s13304-017-0448-6.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Claire Nomine-Criqui
    • 1
  • Cyrille Buisset
    • 1
  • Laurent Bresler
    • 1
  • Laurent Brunaud
    • 1
    Email author
  1. 1.Department of SurgeryUniversity of Lorraine, CHU NANCY Brabois HospitalLorraineFrance

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