Abstract

OBJECTIVE
We performed retroperitoneal laparoendoscopic single-site (LESS) adrenalectomy using a homemade multi-access platform to evaluate the feasibility and safety of this technique and to share our initial experiences.
PATIENTS AND METHODS
Since March 2011, 40 patients underwent retroperitoneal LESS adrenalectomy. A single incision of 2.5-3 cm was made under the 12th rib on the midaxillary line on the affected side. Next, a homemade multi-access platform was inserted through that incision, and a combination of lengthened curved and conventional rigid instruments was used for handling. The procedure was performed mainly according to the procedure for conventional laparoscopic retroperitoneal adrenalectomy.
RESULTS
For 1 patient with pheochromocytoma, one additional trocar was used because the peritoneum was damaged. Surgery was successfully completed in all other patients without conversion to conventional laparoscopic or open surgery.
CONCLUSIONS
Retroperitoneal LESS adrenalectomy is feasible; although initial technical adjustments are inevitable, some useful techniques are effective in simplifying the procedure.

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Publisher Full Text

Publisher Full Text

Authors

Luo Y, Chen X, Chen Z, He Y, Li N, Lai C, Xie C

Institution

Department of Urology, Xiangya Hospital, Central South University, Hunan, China.

Source

Journal of laparoendoscopic & advanced surgical techniques. Part A 22:6 pg 584-6

MeSH

Adrenalectomy
Adult
Equipment Design
Feasibility Studies
Female
Humans
Laparoscopy
Length of Stay
Male
Middle Aged
Patient Safety
Retroperitoneal Space
Treatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22691159