Single-Access Retroperitoneoscopic Partial Adrenalectomy in the Prone Position

Abstract

Introduction:

Reporting our experiences in performing single-access retroperitoneoscopic partial adrenalectomy in the prone position.

Materials and Methods:

Between Dec. 2010 and Dec. 2014, we retrospectively reviewed our prospectively collected data from 12 patients with adrenal tumor who underwent single-access partial adrenalectomy. The inclusion criterion was an aldosterone-producing adenoma or a nonfunctional adrenal mass with a tumor size 4 cm in diameter. The peri- and postoperative parameters were collected for analysis. This video includes a brief presentation of a patient with an aldosterone-producing adenoma who underwent single-access partial adrenalectomy with a homemade single port. ¹

Results:

All single-access partial adrenalectomies were completed effectively without open or laparoscopic conversion. Ancillary ports or ancillary instruments were not required in all cases. Mean operative time was 118.2 ± 53.4 minutes, estimated blood loss ranged from minimal to 50 mL, and median hospital stay was 2 days. The median time to return to normal daily activity was 3 days (range 2–30). No operation-related complications occurred. Final histological analysis revealed adrenal cortical adenoma in 11 cases and Schwannoma in 1 case.

Conclusions:

According to our preliminary experiences, the single-access partial adrenalectomy is feasible and safe in treating benign adrenal tumors of 4 cm.

No competing financial interests exist.

Runtime of video: 5 mins 12 secs