Abstract Concomitant indications for adrenalectomy and cholecystectomy are rare, and simultaneous laparoscopic performance of both procedures is infrequently reported. Combined surgery may reduce anesthetic exposure, hospital stay, and recovery time. A 57-year-old male was admitted with intermittent pain in the right upper quadrant and abdominal distension. Imaging confirmed cholelithiasis with chronic cholecystitis, along with an incidental, nonfunctional 8-cm right adrenal mass. The patient underwent an uneventful simultaneous laparoscopic right adrenalectomy and cholecystectomy. Histopathology confirmed chronic cholecystitis with cholelithiasis and a benign adrenal cavernous hemangioma. The postoperative course was uneventful. This case demonstrates that laparoscopic adrenalectomy combined with simultaneous cholecystectomy can be safely performed in selected patients, this approach enables efficient management of two intra-abdominal pathologies while minimizing surgical morbidity.
Mercan et al. (Sun,) studied this question.