Abstract
Introduction:
Laparoscopy adrenalectomy has become a gold standard for adrenal surgery. The posterior retropeitoneoscopic approach is thought to be the most promising method for single-access surgery of the adrenal glands because it allows a direct access to the retroperitoneal organ. Here, we report our initial experience in laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy for adrenal tumors.
Materials and Methods:
LESS retroperitoneal adrenalectomy was performed with a homemade single port created using an Alexis wound retractor as an access platform through a 3-cm incision beneath the tip of 12th rib. This video includes a brief presentation of a 45-year-old man with hypertension; he was incidentally found to have a 6-cm aldosterone-secreting tumor in left adrenal gland, which was resected with LESS adrenalectomy. The procedure was completed without conversion. The operative time was 165 minutes.
Results and Conclusions:
Between October 2009 and June 2010, we have performed LESS retroperitoneal adrenalectomy for 14 consecutive patients with adrenal tumors. The mean patient age was 50.8 years, and the mean body mass index was 25.5 kg/m2. The mean operative time was 153 minutes. The mean estimated blood loss was 93 mL, and the mean hospital stay was 2.5 days. Conversion to an open or conventional retroperitoneoscopic approach was not necessary in any of the cases. There was no major complication, except three minor complications of temporary relaxation of abdominal wall. The postoperative course was uneventful. In conclusion, LESS retroperitoneal adrenalectomy is a safe and feasible procedure for adrenal tumors. Further prospective studies are warranted to provide more solid evidence concerning the impact of this method on adrenal surgery.
No competing financial interests exist for any of the authors.
Runtime of video: 7 mins 51 secs
Get full access to this article
View all access options for this article.