The case of a patient with bilateral adrenal metastases from lung cancer is described. A left open adrenalectomy at the time of the lung resection had a long-term curative effect. Several months later a right laparoscopic adrenalectomy was performed, but 2 months later a loco-regional recurrence with a port-site metastasis was diagnosed on the right side. Open adrenalectomy, by avoiding the potential for port-site metastasis, may be oncologically superior to laparoscopic adrenalectomy in this situation.
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Weyhe et al. (2007) studied this question.
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