Thoracoscopic Transdiaphragmatic Approach for Isolated Adrenal Gland Metastasis from Renal Cell Carcinoma.

Since its first description, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of adrenal tumors. In patients who have previously undergone major transperitoneal or retroperitoneal surgeries, a retroperitoneal access through a virgin thoracic cavity might be the only alternative for a minimally invasive approach. We report a case of a 61-year-old man with a history of retroperitoneal nephrectomy caused by renal cell carcinoma.

One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina.

Purpose: Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up.

Methods And Materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out.