Single port access adrenalectomy.
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.
Castellucci
Sean A
SA
Hahnemann University Hospital, Drexel University, Philadelphia, Pennsylvania 19102, USA. sdcastellucci@gmail.com
Curcillo
Paul G
PG
Ginsberg
Phillip C
PC
Saba
Salim C
SC
Jaffe
Jamison S
JS
Harmon
Justin D
JD
D000315:Adrenalectomy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013525:Surgical Instruments