V11-12 ROBOTIC ADRENALECTOMY FOR METASTATIC MELANOMA

Abstract

You have accessJournal of UrologyAdrenal/Single Port Surgery/LESS/NOTES1 Apr 2016V11-12 ROBOTIC ADRENALECTOMY FOR METASTATIC MELANOMA Michael Jennings and Wesley White Michael JenningsMichael Jennings More articles by this author and Wesley WhiteWesley White More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1829AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Due to the delicacy of some particular pathologies, there are some disease states that urologist can provide a service in non urologic malignancies. A minimally invasive adrenalectomy for metastatic melanoma with hemorrhage is a procedure not commonly performed. However, adrenal metastasis is present in 50% of Stage IV melanoma. The robotics trained urologists can provide minimally invasive procedure for Stage IV melanoma. Our goal is to provide a methodical and reproducible template for performing a minimally invasive, adrenalectomy and metastatectomy for a suspected melanoma metastasis. METHODS We present a robot-assisted laparoscopic left adrenalectomy, highlighting the key steps to performing the procedure safely and efficiently. We provide narration and bulleted slides to present the case. RESULTS We perform the procedure without intraoperative or postoperative complication. The final pathology revealed necrotic melanoma involving the adrenal. The procedure was completed in three and a half hours. The patient was discharged on postoperative day two, and had resolution of preoperative nausea caused from gastric compression by the mass. CONCLUSIONS Robotic adrenalectomy for melanoma metastasis is a procedure a urologist can provide as part of a multidisciplinary team for both oncologic and palliative purposes, given the correct preoperative findings. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e1006 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Michael Jennings More articles by this author Wesley White More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...