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Needlescopic-assisted laparoendoscopic single-site adrenalectomy
Shogo Inoue1, Mitsuru Kajiwara1, Jun Teishima1
1Department of Urology, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan.
Asian Journal of Surgery
|April 28, 2015
Summary
Needle-assisted laparoendoscopic single-site adrenalectomy (LESS-A) offers a safer alternative to conventional LESS-A, reducing insufflation time. This technique mitigates challenges associated with LESS surgery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Adrenal Gland Surgery
Background:
- Laparoendoscopic single-site adrenalectomy (LESS-A) presents technical challenges.
- Improving the safety and efficiency of LESS-A is crucial for patient outcomes.
Purpose of the Study:
- To compare perioperative parameters between needle-assisted and conventional LESS-A.
- To evaluate the safety and feasibility of a novel needle-assisted technique for LESS-A.
Main Methods:
- A comparative study of 23 patients undergoing needle-assisted LESS-A versus 29 patients undergoing conventional LESS-A.
- Utilized MiniLap instrument and Securea endoscopic surgical spacer for liver and spleen retraction.
- Analyzed parameters including insufflation time, blood loss, pain, oral intake resumption, transfusion rates, and complications.
Main Results:
- Both techniques were completed successfully without major intraoperative complications.
- Needle-assisted LESS-A demonstrated a significantly shorter insufflation time (p = 0.0335).
- No intraoperative or postoperative blood transfusions were required in either group.
Conclusions:
- Needle-assisted LESS-A is a safe and effective approach.
- This technique successfully addresses and mitigates common difficulties encountered in LESS surgery.
- Further research may be warranted despite limitations of retrospective design and small sample size.
