Mini-laparoscopic adrenalectomy with transgastric specimen extraction

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Adrenalectomy is a surgical procedure to remove the adrenal gland.
• Minimally invasive techniques aim to reduce surgical trauma and improve recovery.
• Transgastric specimen extraction offers a novel approach for removing surgical specimens without additional abdominal incisions.

Purpose of the Study:

• To describe the initial experience with mini-laparoscopic adrenalectomy combined with transgastric specimen extraction.
• To assess the safety and feasibility of this combined surgical technique.
• To evaluate perioperative outcomes and potential benefits.

Main Methods:

• A prospective study involving 16 patients undergoing mini-laparoscopic adrenalectomy.
• Utilized 5-mm trocars, with three ports for left and four for right adrenalectomy.
• Specimen extraction was performed transgastrically using intraoperative gastroscopy and an endoscopic snare, with intracorporeal gastrotomy closure.

Main Results:

• The median operative time was 150 minutes, with a median blood loss of 88 ml.
• Median oral intake time was 2 days, and median hospital stay was 2 days.
• No mortality or extraction-related complications were observed; median tumor and specimen dimensions were recorded.

Conclusions:

• Mini-laparoscopic adrenalectomy combined with transgastric specimen extraction is a safe and feasible surgical option.
• This technique represents a less invasive approach to adrenalectomy.
• Potential benefits include reduced wound-related complications and improved cosmesis.