title: Single port access adrenalectomy.
abstract: OBJECTIVE
  To report the first single port access (SPA) adrenalectomy to minimize patient discomfort through a less invasive procedure.
  
  
  RESULTS
  We performed the first SPA in a 63-year-old, otherwise healthy Caucasian female who had a 4.5-cm left adrenal mass that was incidentally discovered on computed tomography scan of the abdomen and pelvis. Through a 2-cm single longitudinal supraumbilical incision extended down to the abdominal fascia, three 5-mm ports were placed through separate facial entry points, to make a triangular port arrangement. The adrenal vein was identified and ligated using hemoclips. The remainder of the dissection was done using hemocoagulation. The adrenal gland was extracted via an EndoCatch bag device by removing one 5-mm port and upsizing to a 12-mm port.
  
  
  CONCLUSIONS
  We report on the first SPA adrenalectomy. Although this technology is still in its infancy, the use of a single port for surgery provides a means to provide a potentially better patient outcome with a less invasive procedure.
authors.affiliation: Hahnemann University Hospital, Drexel University, Philadelphia, Pennsylvania 19102, USA. sdcastellucci@gmail.com
authors.forename: Sean A
authors.initials: SA
authors.lastname: Castellucci
authors.forename: Paul G
authors.initials: PG
authors.lastname: Curcillo
authors.forename: Phillip C
authors.initials: PC
authors.lastname: Ginsberg
authors.forename: Salim C
authors.initials: SC
authors.lastname: Saba
authors.forename: Jamison S
authors.initials: JS
authors.lastname: Jaffe
authors.forename: Justin D
authors.initials: JD
authors.lastname: Harmon
mesh_terms: D000315:Adrenalectomy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013525:Surgical Instruments