Synchronous laparoscopic-assisted right hemicolectomy and right adrenalectomy

In recent years, minimally invasive surgery has been increasingly employed for the treatment of colorectal and adrenal tumors. We report an 82-year-old woman with synchronous right-sided colonic tumor and right adrenal tumor requiring resection. Preoperative workup showed a 6-cm primary right adrenal tumor with no evidence of invasion to adjacent structures. Laparoscopic removal of the two tumors was achieved with the use of a hand-port device, which assured safe retraction of the liver and meticulous dissection of the adrenal tumor, as well as port site protection during retrieval of the specimens. The whole operation lasted 270 min and our patient made an uneventful recovery.