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- 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
- 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.
- Subjects
ADRENALECTOMY; LAPAROSCOPIC surgery; ENDOSCOPIC surgery; ADRENAL surgery; HOSPITAL care
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2011, Vol 25, Issue 4, p1251
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-010-1352-z