Simultaneous Laparoscopic Adrenalectomy and Cholecystectomy: A Case Report
Keywords:
simultaneous, laparoscopic, adrenalectomy, cholecystectomyAbstract
Adrenal masses (AMs) are often discovered incidentally and are then termed adrenal incidentalomas (AIs). They are often discovered after an imaging procedure is performed that is unrelated to the adrenal gland. Usually, the patient has no signs of hormonal excess or obvious underlying malignancy. Incidence has been increasing proportionally to the use of radiographic imaging[1].
Gallstones are concretions that form in the biliary tract, usually in the gall bladder. The development is insidious, and they may remain asymptomatic for decades. Migration of gallstones may lead to occlusion of the biliary and pancreatic ducts, causing pain (biliary colic) and producing acute complications, such as acute cholecystitis, ascending cholangitis, or acute pancreatitis[2].
References
Terzolo M, Bovio S, Pia A, Reimondo G, Angeli A. Management of adrenal incidentaloma. Best Pract Res Clin Endocrinol Metab 2009; 23(2): 233-43.
Center SA. Diseases of the gallbladder and biliary tree. Vet Clin North Am Small Anim Pract 2009; 39(3): 543-98.
Yener S, Ertilav S, Secil M, Demir T, Akinci B, Kebapcilar L, et al. Prospective evaluation of tumor size and hormonal status in adrenal incidentalomas. J Endocrinol Invest 2010; 33(1): 32-6.
Breitenstein S, Nocito A, Puhan M, Held U, Weber M, Clavien PA. Robotic-assisted versus laparoscopic cholecystectomy: outcome and cost analyses of a case-matched control study. Ann Surg 2008; 247(6): 987-93.
Gupta PK, Natarajan B, Pallati PK, Gupta H, Sainath J, Fitzgibbons RJ Jr. Outcomes after laparoscopic adrenalectomy, Surg Endosc 2010 Aug 18.
