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Eur J Cardiothorac Surg 2006;30:194-195
© 2006 Elsevier Science NL

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Combined lung resection and transdiaphragmatic adrenalectomy in patients with non-small cell lung cancer and homolateral solitary adrenal metastasis

^a Department of Thoracic Surgery, Guy's Hospital, London, United Kingdom
^b Department of Radiology, Guy's Hospital, London, United Kingdom

Received 10 February 2006; accepted 29 March 2006.

^_* Corresponding author. Address: Cardiothoracic Surgery Centre, St Thomas’ Hospital, London SE1 7EH, United Kingdom. (Email: Loic.Lang-Lazdunski{at}gstt.nhs.uk).

Surgery may offer a long-term survival benefit to a small proportion of patients with operable non-small cell lung cancer (NSCLC) and solitary adrenal metastasis. Several approaches to lung resection with a separate open or laparoscopic adrenalectomy have been advocated. We describe a technique that allows a single incision, single operation through a transdiaphragmatic approach to the ipsilateral adrenal gland following a standard lung resection through a postero-lateral thoracotomy. By using this approach, along with the harmonic scalpel to aid adrenal dissection, both lobectomy and adrenalectomy can be carried out safely and effectively with minimal perioperative and postoperative morbidity.

Key Words: Lung cancer • Adrenal metastases • Thoracic surgery

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