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

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

Research output: Contribution to journalArticle

38 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1251-1256
Number of pages6
JournalSurgical endoscopy
Volume25
Issue number4
DOIs
Publication statusPublished - Apr 2011
Externally publishedYes

Keywords

  • Adrenalectomy
  • Laparoendoscopic single-site surgery
  • LESS
  • Retroperitoneoscopy
  • SILS

ASJC Scopus subject areas

  • Surgery

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