Single incision for trans-peritoneal laparoscopic adrenalectomy in treatment of adrenal tumors / 第二军医大学学报

ABSTRACT

Objective: To perform trans-peritoneal laparoscopic adrenalectomy via a single incision in treatment of adrenal tumors, and to discuss its clinical outcome and safety. Methods: Single incision trans-peritoneal laparoscopic adrenalectomy was used in treatment of three patients with adrenal tumors. The incision was made 3 cm below the costal margin of anterior axillary line; three Tocars were placed in the cut. The instruments used included single port access, CUSA, Hem-o-lok, etc.. Results: The three operations were all successful, and there were no conversion to open procedure or a need for extra Ttrocars. The operating time periods were 75, 116, and 135 min, with a mean of (108.7±30.7) min. The perioperative blood losses were 10, 20, and 30 ml, with a mean of (20±10) ml. The gastric canal and ureteral catheter were withdrew one day after operation, and the drainage tube was withdrew 3 d after operation. The mean postoperative hospital stay was 4 d. Conclusion: Single incision trans-peritoneal laparoscopic adrenalectomy has the advantage of little trauma, less blood loss, satisfactory safety, and prompt postoperative recovery, but is difficult to manage.