A comparative study of multiport versus laparoendoscopic single-site adrenalectomy for benign adrenal tumors

Victor Chia Hsiang Lin, Yao Chou Tsai, Shiu Dong Chung, Tin Chou Li, Chen Hsun Ho, Fu Shan Jaw, Huai Ching Tai, Hong Jeng Yu

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background The safety and feasibility of laparoendoscopic single-site (LESS) adrenalectomy for benign adrenal lesions was proved in early clinical series. However, the advantages of LESS over multiport laparoscopic adrenalectomy still are under investigation. Methods Since October 2009, the authors have prospectively performed LESS retroperitoneal adrenalectomy for 21 consecutive patients with benign adrenal tumors (LESS group). Another 28 patients with benign adrenal tumors were prospectively collected between June 2006 and October 2009 and served as a multiport laparoscopic adrenalectomy group. The patients' demographic data, operating time, estimated blood loss, peri- and postoperative complications, and short-term outcome were collected for further analysis. Results The demographic data were comparable between the two groups in terms of the patient age, gender, body mass index (BMI), laterality, diagnosis, and resected specimen weight. No major complication or mortality occurred in either group. Neither group had any conversions. No differences were observed between the two groups in terms of intraoperative hemodynamic status or peri- or postoperative complications. The LESS patients had quicker resumption of oral intake (0.18 vs 1 day; p < 0.001), a shorter hospital stay (2 vs 4 days; p < 0.001), and a reduced analgesic requirement postoperatively (0 vs 0.84 mg/kg; p = 0.023) than the multiport laparoscopic patients. Conclusions The results demonstrate that LESS adrenalectomy is as safe and effective as conventional multiport laparoscopic adrenalectomy for benign adrenal tumors. In addition, LESS adrenalectomy provides short-term convalescence advantages over multiport laparoscopic adrenalectomy.

Original languageEnglish
Pages (from-to)1135-1139
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume26
Issue number4
DOIs
Publication statusPublished - Apr 1 2012
Externally publishedYes

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Glandular and Epithelial Neoplasms
Adrenalectomy
Demography
Analgesics
Length of Stay
Body Mass Index
Hemodynamics
Safety
Weights and Measures
Mortality

Keywords

  • Adrenalectomy
  • Laparoendoscopic single-site surgery
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery

Cite this

A comparative study of multiport versus laparoendoscopic single-site adrenalectomy for benign adrenal tumors. / Lin, Victor Chia Hsiang; Tsai, Yao Chou; Chung, Shiu Dong; Li, Tin Chou; Ho, Chen Hsun; Jaw, Fu Shan; Tai, Huai Ching; Yu, Hong Jeng.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 26, No. 4, 01.04.2012, p. 1135-1139.

Research output: Contribution to journalArticle

Lin, Victor Chia Hsiang ; Tsai, Yao Chou ; Chung, Shiu Dong ; Li, Tin Chou ; Ho, Chen Hsun ; Jaw, Fu Shan ; Tai, Huai Ching ; Yu, Hong Jeng. / A comparative study of multiport versus laparoendoscopic single-site adrenalectomy for benign adrenal tumors. In: Surgical Endoscopy and Other Interventional Techniques. 2012 ; Vol. 26, No. 4. pp. 1135-1139.
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N2 - Background The safety and feasibility of laparoendoscopic single-site (LESS) adrenalectomy for benign adrenal lesions was proved in early clinical series. However, the advantages of LESS over multiport laparoscopic adrenalectomy still are under investigation. Methods Since October 2009, the authors have prospectively performed LESS retroperitoneal adrenalectomy for 21 consecutive patients with benign adrenal tumors (LESS group). Another 28 patients with benign adrenal tumors were prospectively collected between June 2006 and October 2009 and served as a multiport laparoscopic adrenalectomy group. The patients' demographic data, operating time, estimated blood loss, peri- and postoperative complications, and short-term outcome were collected for further analysis. Results The demographic data were comparable between the two groups in terms of the patient age, gender, body mass index (BMI), laterality, diagnosis, and resected specimen weight. No major complication or mortality occurred in either group. Neither group had any conversions. No differences were observed between the two groups in terms of intraoperative hemodynamic status or peri- or postoperative complications. The LESS patients had quicker resumption of oral intake (0.18 vs 1 day; p < 0.001), a shorter hospital stay (2 vs 4 days; p < 0.001), and a reduced analgesic requirement postoperatively (0 vs 0.84 mg/kg; p = 0.023) than the multiport laparoscopic patients. Conclusions The results demonstrate that LESS adrenalectomy is as safe and effective as conventional multiport laparoscopic adrenalectomy for benign adrenal tumors. In addition, LESS adrenalectomy provides short-term convalescence advantages over multiport laparoscopic adrenalectomy.

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