IJU Case Reports (Nov 2022)

A case of robot‐assisted adrenalectomy performed for an adrenal tumor (anastomosing hemangioma) exceeding 7 cm

  • Toshinori Nishikimi,
  • Hideki Mizuno,
  • Ayano Kashima,
  • Hiroko Morikami,
  • Shigeki Ishiguro,
  • Tomoyoshi Ohashi,
  • Hiroshi Yamada

DOI
https://doi.org/10.1002/iju5.12517
Journal volume & issue
Vol. 5, no. 6
pp. 469 – 473

Abstract

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Abstract Introduction Anastomosing hemangioma in the adrenal area is extremely rare. We report a large anastomosing hemangioma in the adrenal area that underwent robot‐assisted adrenalectomy. Case presentation A 49‐year‐old man with left back pain underwent magnetic resonance imaging (MRI) that revealed a tumor in the left adrenal area; it was diagnosed as nonfunctional endocrinologically. However, the major axis of the tumor increased from 64 to 72 mm during the 4‐month period. Robot‐assisted left adrenalectomy was performed. Although the large tumor adhered to the surrounding tissues, it was safely resected by the effective use of an extra robotic arm. An anastomosing hemangioma was diagnosed since there were no malignant findings. Conclusion Robotic surgical systems may serve as an effective treatment option for large adrenal tumors, and our report is the first robot‐assisted adrenalectomy performed on an anastomosing hemangioma.

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