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Retroperitoneal laparoendoscopic single-site adrenalectomy: our initial technical experience
Yancheng Luo1, Xiang Chen, Zhi Chen
1Department of Urology, Xiangya Hospital, Central South University, Hunan, China.
Summary
Retroperitoneal laparoendoscopic single-site (LESS) adrenalectomy is feasible using a homemade platform. This technique simplifies adrenal gland removal with initial adjustments, proving safe for patients.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Urology
Background:
- Laparoscopic adrenalectomy is a standard procedure.
- Single-site surgery offers cosmetic and potential recovery benefits.
- Novel platforms are needed to facilitate complex single-site procedures.
Purpose of the Study:
- To evaluate the feasibility and safety of retroperitoneal laparoendoscopic single-site (LESS) adrenalectomy.
- To share initial experiences and technical adjustments for this approach.
- To assess the utility of a homemade multi-access platform for LESS adrenalectomy.
Main Methods:
- Retrospective analysis of 40 patients undergoing retroperitoneal LESS adrenalectomy since March 2011.
- A single 2.5-3 cm incision was made under the 12th rib.
- A homemade multi-access platform was used with specialized instruments for the procedure.
Main Results:
- Successful completion of surgery in 39 out of 40 patients without conversion to conventional laparoscopic or open surgery.
- One patient with pheochromocytoma required an additional trocar due to peritoneal damage.
- The procedure was adapted from conventional laparoscopic retroperitoneal adrenalectomy techniques.
Conclusions:
- Retroperitoneal LESS adrenalectomy is a feasible surgical option.
- Initial technical modifications are necessary but can simplify the procedure.
- The use of a homemade multi-access platform is effective for this minimally invasive approach.
