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Single-incision transperitoneal laparoscopic left adrenalectomy.
Óscar Vidal1, Emiliano Astudillo, Mauro Valentini
1General and Endocrine Surgery Unit, Department of General and Digestive Surgery, Digestive Diseases and Metabolism Institute, Hospital Clínic i Provincial, Universitat de Barcelona, CIRBERHED, IDIBAPS, Villarroel 170, 08036 Barcelona, Spain. ovidal@clinic.ub.es
Single-incision laparoscopic surgery (SILS) for left adrenalectomy is a safe and feasible technique. This minimally invasive approach offers comparable outcomes to conventional laparoscopic surgery for adrenal masses.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Endocrine surgery
Background:
- Conventional laparoscopic adrenalectomy is a standard surgical procedure.
- Single-incision laparoscopic surgery (SILS) offers a minimally invasive alternative.
- This study evaluates the initial experience with SILS for left adrenalectomy.
Purpose of the Study:
- To assess the feasibility and safety of single-incision laparoscopic surgery (SILS) for left adrenalectomy.
- To compare SILS left adrenalectomy with conventional laparoscopic adrenalectomy.
Main Methods:
- A prospective study included patients with adrenal masses undergoing SILS left adrenalectomy.
- A single 2.5-cm subcostal incision was used for SILS.
- SILS outcomes were compared to a control group undergoing conventional laparoscopic adrenalectomy.
Main Results:
- SILS left adrenalectomy was successfully performed in all patients without conversion to open surgery.
- Operative time for SILS was comparable to conventional laparoscopy (95 vs. 80 minutes, p=0.052).
- No significant differences were observed in postoperative pain, oral intake resumption, or hospital stay between groups.
Conclusions:
- Single-incision laparoscopic surgery (SILS) is a technically feasible and safe approach for left adrenalectomy in selected patients.
- Further research is needed to confirm the clinical, aesthetic, and functional benefits of SILS.
- SILS demonstrates potential as an effective minimally invasive option for adrenal surgery.
