Single-incision retroperitoneoscopic adrenalectomy and single-incision laparoscopic adrenalectomy.
OBJECTIVE
Single-incision surgery is by now practicable in many fields of surgery, including surgery of the adrenal gland. We report on first experience with laparoscopic transperitoneal and retroperitoneoscopic single-incision adrenalectomy.


METHODS
Between September 2009 and February 2010, eight patients underwent single-incision adrenalectomy. Four patients received single-incision retroperitoneoscopic adrenalectomy, and four patients transperitoneal single-incision laparoscopic adrenalectomy. Technical feasibility and perioperative data are presented.


RESULTS
All patients had benign adrenal tumors (Conn's adenoma, n = 7; pheochromocytoma, n = 1). Tumor size ranged between 1.2 and 2.4 cm. Mean operation time was 76 minutes for single-incision retroperitoneoscopic adrenalectomy and 82 minutes for single-incision laparoscopic adrenalectomy. Blood loss was irrelevant in both groups.


CONCLUSIONS
Single-incision adrenalectomy is safe and feasible in appropriate operation time, both by the retroperitoneoscopic technique and by the laparoscopic technique. It is also associated with good cosmetic outcome.
Agha
Ayman
A
Department of Surgery, University Medical Center Regensburg, Regensburg, Germany. ayman.agha@klinik.uni-regensburg.de
Hornung
Matthias
M
Iesalnieks
Igors
I
Glockzin
Gabriel
G
Schlitt
Hans J
HJ
D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D012187:Retroperitoneal Space / Q000601:surgery*