Initial Experience of Single Port Transperitoneal Laparoscopic Adrenalectomy.
10.16956/kjes.2011.11.4.283
- Author:
Jae Kwan LEE
1
;
Ha Na KWAK
;
Ji Sup YUN
;
Yong Lai PARK
;
Chan Heun PARK
Author Information
1. Thyroid & Breast Cancer Center, Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. hnaa.kwak@samsung.net
- Publication Type:Original Article
- Keywords:
Adrenalectomy;
Laparoscopic surgery;
Laparoscopic adrenalectomy via monoport
- MeSH:
Adenoma;
Adrenalectomy*;
Blood Transfusion;
Conversion to Open Surgery;
Cushing Syndrome;
Female;
Gloves, Surgical;
Humans;
Hyperaldosteronism;
Laparoscopy;
Length of Stay;
Male;
Myelolipoma;
Operative Time;
Pheochromocytoma;
Retrospective Studies;
Wounds and Injuries
- From:Korean Journal of Endocrine Surgery
2011;11(4):283-286
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Single port laparoscopic surgery is an area of active investigation in abdominal surgery. A standard procedure for single port laparoscopic adrenal surgery has not been established. We retrospectively investigated intraoperative and postoperative outcomes following laparoscopic adrenalectomy via mono-port (LAMP). METHODS: Between March 2009 and December 2009, 10 patients underwent LAMP at Kangbuk Samsung Hospital. The same surgeon performed all surgeries. The first 5 cases underwent LAMP using an Alexis Wound Retractor (Applied Medical, Rancho Santa Margarita, CA, USA) with surgical gloves, and others were done with an OCTO Port (Dalim Surgnet, Korea). RESULTS: Of the 10 patients, 5 were male and 5 were female. The mean age was 43.7±9.9 years (range, 34~62), and the mean BMI was 24.1±4.0 kg/m² (Range, 17.1 ~30.0). The mean tumor size was 32.5±16.9 mm (range, 12~60),mean operative time was 127.0±29.5 min (range, 90~180), and mean hospital stay was 4.5 days (range, 3~7). Three patients were diagnosed with non-functioning cortical adenoma, 3 with Cushing's syndrome, 2 patients with pheochromocytoma, and others with primarily hyperaldosteronism and myelolipoma. Major postoperative morbidity, blood transfusions, or conversion to open surgery did not occur. CONCLUSION: The outcome of LAMP demonstrates the safety and feasibility of this procedure. With increasing surgeon experience and refinement in instrument technology, we believe LAMP is likely to become a standard approach to adrenal disease.
