Transumbilical single port laparoscopic adrenalectomy: a technical report on right and left adrenalectomy using the glove port.
Recently, single port laparoscopic surgery has been the focus of attention due to the advanced laparoscopic skills accumulated from experience and developments in laparoscopic instruments. Herein, we present two cases of initial single port laparoscopic adrenalectomies. Case 1 was a 38-year-old female patient diagnosed with primary hyperaldosteronism because of a the right adrenal 2.5-cm sized adenoma, and case 2 was a 31-year-old female patient diagnosed with primary adrenal Cushing's syndrome because of a left adrenal 2.9-cm sized adenoma. Both patients successfully underwent single port laparoscopic adrenalectomies via a transumbilical transperitoneal approach. There was no estimated blood loss and the total operating times were 60 and 70 minutes, respectively. Both patients recovered uneventfully. We believe that this technique presented could provide potential benefits (lesser wound pain, better cosmetic satisfaction, and shorter convalescence) if the indications are carefully selected.
Division of Hepatobiliary and Pancreas, Department of Surgery, Yonsei University College of Medicine, Clinic of Pancreatic and Biliary Cancer, Institute of Gastroenterology, Yonsei University Health System, Seoul, Korea.
Sung Hoon
SH
Choi
Ho Kyoung
HK
Hwang
Chang Moo
CM
Kang
Woo Jung
WJ
Lee
D000311:Adrenal Glands / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D003480:Cushing Syndrome / Q000601:surgery; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*