Korean J Endocr Surg.  2011 Dec;11(4):283-286. 10.0000/kjes.2011.11.4.283.

Initial Experience of Single Port Transperitoneal Laparoscopic Adrenalectomy

• Lee JK
• Kwak HN
• Yun JS
• Park YL
• Park CH

• KMID: 2375391
• DOI: http://doi.org/10.0000/kjes.2011.11.4.283

Abstract

PURPOSE
Single port laparoscopic surgery is an area of active investigation in abdominal surgery. A standard procedure for single port laparoscopic adrenal surgery has not been established. We retrospectively investigated intraoperative and postoperative outcomes following laparoscopic adrenalectomy via mono-port (LAMP).
METHODS
Between March 2009 and December 2009, 10 patients underwent LAMP at Kangbuk Samsung Hospital. The same surgeon performed all surgeries. The first 5 cases underwent LAMP using an Alexis Wound Retractor (Applied Medical, Rancho Santa Margarita, CA, USA) with surgical gloves, and others were done with an OCTO Port (Dalim Surgnet, Korea).
RESULTS
Of the 10 patients, 5 were male and 5 were female. The mean age was 43.7±9.9 years (range, 34~62), and the mean BMI was 24.1±4.0 kg/m² (Range, 17.1 ~30.0). The mean tumor size was 32.5±16.9 mm (range, 12~60),mean operative time was 127.0±29.5 min (range, 90~180), and mean hospital stay was 4.5 days (range, 3~7). Three patients were diagnosed with non-functioning cortical adenoma, 3 with Cushing's syndrome, 2 patients with pheochromocytoma, and others with primarily hyperaldosteronism and myelolipoma. Major postoperative morbidity, blood transfusions, or conversion to open surgery did not occur.
CONCLUSION
The outcome of LAMP demonstrates the safety and feasibility of this procedure. With increasing surgeon experience and refinement in instrument technology, we believe LAMP is likely to become a standard approach to adrenal disease.

Keyword

Adrenalectomy; Laparoscopic surgery; Laparoscopic adrenalectomy via monoport

MeSH Terms

Adenoma
Adrenalectomy*
Blood Transfusion
Conversion to Open Surgery
Cushing Syndrome
Female
Gloves, Surgical
Humans
Hyperaldosteronism
Laparoscopy
Length of Stay
Male
Myelolipoma
Operative Time
Pheochromocytoma
Retrospective Studies
Wounds and Injuries

Figure

• 

  Fig. 1 (A) Hand-made mono-port using an AlexisⓇ Wound Retractor (Applied Medical, Rancho Santa Margarita, CA, USA) and a surgical glove. (B) OCTO PortⓇ (Dalim Surgnet, Korea).

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