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Surgical Endoscopy
Published in: Surgical Endoscopy 4/2011

01-04-2011

Laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy using a homemade single-access platform and standard laparoscopic instruments

Authors: Shiu-Dong Chung, Chao-Yuan Huang, Shuo-Meng Wang, Huai-Ching Tai, Yao-Chou Tsai, Shih-Chieh Chueh

Published in: Surgical Endoscopy | Issue 4/2011

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Abstract

Background

This study aimed to evaluate laparoendoscopic single-site (LESS) adrenalectomy via the retroperitoneal approach using the Alexis wound retractor with standard laparoscopic instrumentation.

Methods

Since October 2009, seven LESS retroperitoneal adrenalectomies have been completed successfully with a homemade single port created using an Alexis wound retractor as an access platform through a 3-cm incision beneath the tip of the 12th rib.

Results

All the LESS procedures for these seven patients with adrenal tumors (size, 1.3–6.0 cm; 4 right, 1 left) were completed successfully without traditional laparoscopic conversion or complication. The average operative time was 159 min, and the estimated blood loss was 100 ml. The average hospital stay was 2 days (range, 1–3 days).

Conclusions

The preliminary results show that LESS retroperitoneal adrenalectomy is a safe and feasible procedure for functional adrenal tumors using standard laparoscopic instruments.
Literature
1.
Stolzenburg J-U, Kallidonis P, Till H, Burchardt M, Herrmann TR, Liatsikos EN (2009) Current status of laparoendoscopic single-site surgery in urology. World J Urol 27:767–773CrossRef
2.
Liatsikos E, Kallidonis P, Kyriazis I, Al-Aown A, Stolzenburg JU (2009) Urologic laparoendoscopic single-site surgery. Nat Rev Urol 6:654–659PubMedCrossRef
3.
4.
Marescaux J, Mutter D, Wheeler MH (1996) Laparoscopic right and left adrenalectomies: surgical procedures. Surg Endosc 10:912–915PubMedCrossRef
5.
Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, Ommer A, Groeben H, Peitgen K, Janssen OE, Philipp T, Neumann HP, Schmid KW, Mann K (2006) Posterior retroperitoneoscopic adrenalectomy: results of 560 procedures in 520 patients. Surgery 140:943–948PubMedCrossRef
6.
Eisenberg MS, Cadeddu JA, Desai MM (2010) Laparoendoscopic single-site surgery in urology. Curr Opin Urol 20:141–147PubMedCrossRef
7.
Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA (2007) Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology 70:1039–1042PubMedCrossRef
8.
Kaouk JH, Haber GP, Goel RK, Desai MM, Aron M, Rackley RR, Moore C, Gill IS (2008) Single-port laparoscopic surgery in urology: initial experience. Urology 71:3–6PubMedCrossRef
9.
Desai MM, Rao PP, Aron M, Pascal-Haber G, Desai MR, Mishra S, Kaouk JH, Gill IS (2008) Scarless single-port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int 101:83–88PubMedCrossRef
10.
Kaouk JH, Palmer JS (2008) Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int 102:97–99PubMedCrossRef
11.
Rané A, Rao P, Rao P (2008) Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port). Urology 72:260–263PubMedCrossRef
12.
Gill IS, Canes D, Aron M, Haber GP, Goldfarb DA, Flechner S, Desai MR, Kaouk JH, Desai MM (2008) Single-port transumbilical (E-NOTES) donor nephrectomy. J Urol 180:637–641PubMedCrossRef
13.
Castellucci SA, Curcillo PG, Ginsberg PC, Saba SC, Jaffe JS, Harmon JD (2008) Single-port access adrenalectomy. J Endourol 22:1573–1576PubMedCrossRef
14.
Raman JD, Bagrodia A, Cadeddu JA (2009) Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison of perioperative outcomes and short-term measures of convalescence. Eur Urol 55:1198–1206PubMedCrossRef
15.
Aron M, Canes D, Desai MM, Haber GP, Kaouk JH, Gill IS (2009) Transumbilical single-port laparoscopic partial nephrectomy. BJU Int 103:516–521PubMedCrossRef
16.
White WM, Haber GP, Goel RK, Crouzet S, Stein RJ, Kaouk JH (2009) Single-port urological surgery: single-center experience with the first 100 cases. Urology 74:801–804PubMedCrossRef
17.
Walz MK, Groeben H, Alesina PF (2010) Single-access retroperitoneoscopic adrenalectomy (SARA) versus conventional retroperitoneoscopic adrenalectomy (CORA): a case-control study. World J Surg 34:1386–1390PubMedCrossRef
18.
Tracy CR, Raman JD, Cadeddu JA, Rane A (2008) Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol 5:561–568PubMedCrossRef
19.
Stein RJ, White WM, Goel RK, Irwin BH, Haber GP, Kaouk JH (2010) Robotic laparoendoscopic single-site surgery using GelPort as the access platform. Eur Urol 57:132–136PubMedCrossRef
20.
Hirano D, Minei S, Yamaguchi K, Yoshikawa T, Hachiya T, Yoshida T, Ishida H, Takimoto Y, Saitoh T, Kiyotaki S, Okada K (2005) Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol 19:788–792PubMedCrossRef
21.
Walz MK, Alesina PF (2009) Single-access retroperitoneoscopic adrenalectomy (SARA): one step beyond in endocrine surgery. Langenbecks Arch Surg 394:447–450PubMedCrossRef
22.
Jeon HG, Jeong W, Oh CK, Lorenzo EI, Ham WS, Rha KH, Han WK (2010) Initial experience with 50 laparoendoscopic single-site surgeries using a homemade, single port device at a single center. J Urol 183:1866–1871PubMedCrossRef
23.
Tai HC, Lin CD, Wu CC, Tsai YC, Yang SS (2010) Homemade transumbilical port: an alternative access for laparoendoscopic single-site surgery (LESS). Surg Endosc 24:705–708PubMedCrossRef
Metadata
Title
Laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy using a homemade single-access platform and standard laparoscopic instruments
Authors
Shiu-Dong Chung
Chao-Yuan Huang
Shuo-Meng Wang
Huai-Ching Tai
Yao-Chou Tsai
Shih-Chieh Chueh
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-010-1352-z

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