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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.
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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
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