{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T10:52:09Z","timestamp":1779360729212,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2008,3,12]],"date-time":"2008-03-12T00:00:00Z","timestamp":1205280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Metachronous adrenal metastases (AM) from renal cell carcinoma (RCC) are rare. We report our experience of surgical resection in this setting, with particular respect to laparoscopic approach and long\u2010term outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of 11 patients who underwent adrenalectomy for metachronous AM from RCC was conducted between 2002 and 2005\u00a0in a tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CT scan findings were those of an adrenal mass ranging from 2 to 13\u00a0cm in diameter with a basal density of 12 to 28 Hounsfield Units and strong heterogeneous enhancement following contrast injection. The surgical procedure consisted of controlateral (n = 5), ipsilateral (n = 2), and bilateral (n = 1) laparoscopic adrenalectomy, whereas three patients underwent controlateral open adrenalectomy for adrenal mass &gt;10\u00a0cm. Nine patients were recurrence\u2010free with a median follow\u2010up of 34\u00a0months. In the remaining two patients, lung metastases were discovered at postoperative months 28 and 11, respectively. The former patient is alive and free of disease recurrence 32\u00a0months after lung metastasis resection, whereas the latter is currently being treated with sunitinib.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study confirms that prolonged overall and disease free\u2010survival can be achieved in selected patient after laparosocpic adrenalectomy for AM from RCC<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9539-3","type":"journal-article","created":{"date-parts":[[2008,3,11]],"date-time":"2008-03-11T03:56:49Z","timestamp":1205207809000},"page":"1809-1814","source":"Crossref","is-referenced-by-count":14,"title":["Laparoscopic Adrenalectomy for Metachronous Metastasis from Renal Cell Carcinoma"],"prefix":"10.1002","volume":"32","author":[{"given":"St\u00e9phane","family":"Bonnet","sequence":"first","affiliation":[{"name":"Department of Digestive and Endocrine Surgery H\u00f4pital Cochin, AP\u2010HP, Universit\u00e9 Paris Descartes 27, rue du Faubourg Saint\u2010Jacques 75014 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9bastien","family":"Gaujoux","sequence":"additional","affiliation":[{"name":"Department of Digestive and Endocrine Surgery H\u00f4pital Cochin, AP\u2010HP, Universit\u00e9 Paris Descartes 27, rue du Faubourg Saint\u2010Jacques 75014 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahaut","family":"Leconte","sequence":"additional","affiliation":[{"name":"Department of Digestive and Endocrine Surgery H\u00f4pital Cochin, AP\u2010HP, Universit\u00e9 Paris Descartes 27, rue du Faubourg Saint\u2010Jacques 75014 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Marc","family":"Thillois","sequence":"additional","affiliation":[{"name":"Department of Digestive and Endocrine Surgery H\u00f4pital Cochin, AP\u2010HP, Universit\u00e9 Paris Descartes 27, rue du Faubourg Saint\u2010Jacques 75014 Paris 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