V11-12: Robotic Adrenalectomy for Metastatic Melanoma

Video

INTRODUCTION

Due to the delicacy of some particular pathologies, there are some disease states that urologist can provide a service in non urologic malignancies. A minimally invasive adrenalectomy for metastatic melanoma with hemorrhage is a procedure not commonly performed . However, adrenal metastasis is present in 50% of Stage IV melanoma. The robotics trained urologists can provide minimally invasive procedure for Stage IV melanoma. _x000D_ _x000D_ Our goal is to provide a methodical and reproducible template for performing a minimally invasive, adrenalectomy and metastatectomy for a suspected melanoma metastasis. _x000D_

METHODS

We present a robot-assisted laparoscopic left adrenalectomy, highlighting the key steps to performing the procedure safely and efficiently. We provide narration and bulleted slides to present the case. _x000D_

RESULTS

We perform the procedure without intraoperative or postoperative complication. The final pathology revealed necrotic melanoma involving the adrenal. The procedure was completed in three and a half hours. The patient was discharged on postoperative day two, and had resolution of preoperative nausea caused from gastric compression by the mass.

CONCLUSION

Robotic adrenalectomy for melanoma metastasis is a procedure a urologist can provide as part of a multidisciplinary team for both oncologic and palliative purposes, given the correct preoperative findings.

Funding: none