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Updated: Jun 8, 2026
Single Port Donor Nephrectomy
Published on: March 12, 2011
Single-incision retroperitoneoscopic adrenalectomy and single-incision laparoscopic adrenalectomy
Ayman Agha1, Matthias Hornung, Igors Iesalnieks
1Department of Surgery, University Medical Center Regensburg, Regensburg, Germany. ayman.agha@klinik.uni-regensburg.de
Objective:
Single-incision surgery is by now practicable in many fields of surgery, including surgery of the adrenal gland. We report on first experience with laparoscopic transperitoneal and retroperitoneoscopic single-incision adrenalectomy.
Patients And Methods:
Between September 2009 and February 2010, eight patients underwent single-incision adrenalectomy. Four patients received single-incision retroperitoneoscopic adrenalectomy, and four patients transperitoneal single-incision laparoscopic adrenalectomy. Technical feasibility and perioperative data are presented.
Results:
All patients had benign adrenal tumors (Conn's adenoma, n = 7; pheochromocytoma, n = 1). Tumor size ranged between 1.2 and 2.4 cm. Mean operation time was 76 minutes for single-incision retroperitoneoscopic adrenalectomy and 82 minutes for single-incision laparoscopic adrenalectomy. Blood loss was irrelevant in both groups.
Conclusions:
Single-incision adrenalectomy is safe and feasible in appropriate operation time, both by the retroperitoneoscopic technique and by the laparoscopic technique. It is also associated with good cosmetic outcome.
