Port site recurrence after laparoscopic adrenalectomy for metastatic melanoma

Abstract

Port site metastasis after adrenal surgery is a rare entity. We describe the case of a 70-yearold man with a solitary adrenal metastasis from malignant melanoma, which was laparoscopically removed. Twelve months later, he presented a recurrence near one of the laparoscopic port sites. This lesion was surgically removed and after a 18-month follow-up, the patient presents no evidence of disease.

Surgical management of adrenal metastases

“…As expected, the laparoscopic group benefited from lower blood loss, operative time, hospital stay, and complication rates. The majority of authors report no port-site metastases or locoregional recurrences after laparoscopic adrenalectomy for metastatic tumours even after a long-term follow-up [94,95] (Table 7).…”

Combined endoscopic and laparoscopic approach for palliative resection of metastatic melanoma of the stomach

“…Laparoscopic wedge resection is relatively simple technique and offers advantages of laparoscopic surgery including short hospital stay, early return to normal activity and minimal morbidity and mortality. However, care should be taken in avoiding specimen contact with the laparoscopic port sites as port site recurrence has been reported [ 15 ]. The indications for this technique may be extended to the palliative resection of rare gastric tumours in selected patients.…”