PDF
ePub
Citation
Print
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 laparo-scopic 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.
Go to : 
REFERENCES
1.Gagner M., Lacroix A., Bolté E. Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma. N Engl J Med. 1992. 327:1033.
2.Guazzoni G., Montorsi F., Bocciardi A., Da Pozzo L., Rigatti P., Lanzi R, et al. Transperitoneal laparoscopic versus open adrenalectomy for benign hyperfunctioning adrenal tumors: a comparative study. J Urol. 1995. 153:1597–600.
3.Thompson GB., Grant CS., van Heerden JA., Schlinkert RT., Young WF Jr., Farley DR, et al. Laparoscopic versus open posterior adrenalectomy: a case-control study of 100 patients. Surgery. 1997. 122:1132–6.
4.Brunt LM. Minimal access adrenal surgery. Surg Endosc. 2006. 20:351–61.
5.Faria EF., Andreoni C., Krebs RK., Nascimento H., Goldman SM., Kater C, et al. Advances in pheochromocytoma management in the era of laparoscopy. J Endourol. 2007. 21:1303–7.
6.Wilhelm SM., Prinz RA., Barbu AM., Onders RP., Solorzano CC. Analysis of large versus small pheochromocytomas: ope- rative approaches and patient outcomes. Surgery. 2006. 140:553–9.
7.Romanelli JR., Earle DB. Single-port laparoscopic surgery: an overview. Surg Endosc. 2009. 23:1419–27.
8.Kagaya T. Laparoscopic cholecystectomy via two ports, using the "Twin-Port" system. J Hepatobiliary Pancreat Surg. 2001. 8:76–80.
9.Leggett PL., Churchman-Winn R., Miller G. Minimizing ports to improve laparoscopic cholecystectomy. Surg Endosc. 2000. 14:32–6.
10.Podolsky ER., Rottman SJ., Poblete H., King SA., Curcillo PG. Single port access (SPA) cholecystectomy: a completely trans-umbilical approach. J Laparoendosc Adv Surg Tech A. 2009. 19:219–22.
11.Castellucci SA., Curcillo PG., Ginsberg PC., Saba SC., Jaffe JS., Harmon JD. Single port access adrenalectomy. J Endourol. 2008. 22:1573–6.
12.Hirano D., Minei S., Yamaguchi K., Yoshikawa T., Hachiya T., Yoshida T, et al. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol. 2005. 19:788–92.
Go to :
 | Fig. 1(A) Hand-made mono-port using an AlexisⓇ Wound Retractor (Applied Medical, Rancho Santa Margarita, CA, USA) and a surgical glove. (B) OCTO PortⓇ (Dalim Surgnet, Korea). |
Table 1.
Characteristics of 10 patients undergoing LAMP
| LAMP | |
|---|---|
| Patients (n) | 10 |
| Gender (M：F) | 5：5 |
| Age (years) | 43.7±9.9 (Range, 34∼62) |
| Site (Rt：Lt) | 4：6 |
| BMI (kg/m2) | 24.1±4.0 (Range, 17.1∼30.0) |
| Previous abdomen op | 1 |
Table 2.
Outcomes following LAMP
XML Download