Abstract
We herein report the first case of a single-incision laparoscopic access (SILA) adrenalectomy in Japan. A 74-year-old woman who was a hepatitis B virus carrier was referred to our hospital because of an abnormal screening result during a routine health checkup. Abdominal computed tomography and an endocrinologic workup revealed a 2-cm left adrenal tumor with primary aldosteronism. We prioritized the safety of the SILA adrenalectomy by choosing a left lower abdominal approach. A SILS port was inserted through a 2.5-cm incision. An ultrasonic coagulator was the main tool used during the surgical procedure. The duration of the surgery was 105 min and the blood loss was 1 ml. This result was comparable to that of a conventional laparoscopic adrenalectomy. Based on our experience, an SILA adrenalectomy is thus considered to be feasible and safe, with better cosmetic results and a greater overall patient satisfaction than that of a conventional laparoscopic adrenalectomy. However, further studies will be necessary before the universal adoption of this new technique can be considered.
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Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 1992;327:1033.
Smith CD, Weber CJ, Amerson JR. Laparoscopic adrenalectomy: new gold standard. World J Surg 1999;23:389–396.
Kim AW, Quiros RM, Maxhimer JB, El-Ganzouri AR, Prinz RA. Outcome of laparoscopic adrenalectomy for pheochromocytomas vs aldosteronomas. Arch Surg 2004;139:526–529.
Prager G, Heintz-Peer G, Passler C, Kaczirek K, Scheuba C, Niederie B. Applicability of laparoscopic adrenalectomy in a prospective study in 150 consecutive patients. Arch Surg 2004;139:46–49.
Poulose BK, Holzman MD, Lao OB, Grogan EL, Goldstein RE. Laparoscopic adrenalectomy: 100 resections with clinical longterm follow-up. Surg Endosc 2005;19:379–385.
Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, et al. Posterior retroperitoneoscopic adrenalectomy — results of 560 procedures in 520 patients. Surgery 2006;140:943–948.
Ko CW, Kalloo AN. Per-oral transgastric abdominal surgery. Clin J Dis 2006;7:67–70.
Baron TH. Natural orifice transluminal endoscopic surgery. Br J Surg 2007;94:1–2.
Canes D, Berger A, Aron M, Brandina R, Goldfarb DA, Shoskes D, et al. Laparo-endoscopic single site (LESS) versus standard laparoscopic left donor nephrectomy: matched-pair comparison. Eur Urol 2010;57:95–101.
Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, Farantos C, Benetatos N, Mavridou P, et al. Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc 2010;24:1842–1848.
Walz MK, Groeben H, Alesina PF. Single-access retroperitoneal adrenalectomy (SARA) versus conventional retroperitoneoscopic adrenalectomy (CORA): a case-control study. World J Surg 2010;34:1386–1390.
Kim TJ, Lee YY, Cha HH, Kim CJ, Choi CH, Lee JW, et al. Single-port access laparoscopic-assisted vaginal hysterectomy versus conventional laparoscopic-assisted vaginal hysterectomy: a comparison of perioperative outcomes. Surg Endosc 2010;24:2248–2252.
Sasaki A, Koeda K, Obuchi T, Nakajima J, Nishizuka S, Terashima M, Wakabayashi G. Tailored laparoscopic resection for suspected gastric gastrointestinal stromal tumors. Surgery 2010;147:516–520.
Sasaki A, Koeda K, Nakajima J, Obuchi T, Baba S, Wakabayashi G. Single-incision laparoscopic gastric resection for submucosal tumors: report of three cases. Surg Today 2010:41:133–136.
Oyama K, Sasaki A, Chiba T, Nitta H, Otsuka K, Wakabayashi G. Single-incision laparoscopic splenectomy for idiopathic thrombocytopenic purpura: report of a case. Surg Today 2011 (in press).
Castellucci SA, Curcillo PG, Ginsberg PC, Saba SC, Jaffe JS, Harmon JD. Single port access adrenalectomy. J Endourol 2008;22:1573–1576.
Cindolo L, Gidaro S, Tamburro FR, Schips L. Laparo-endoscopic single-site left transperitoneal adrenalectomy. Eur Urol 2010;57:911–914.
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Shimabuku, M., Sasaki, A., Higa, M. et al. Single-incision laparoscopic adrenalectomy for primary aldosteronism: Report of a case. Surg Today 41, 1306–1309 (2011). https://doi.org/10.1007/s00595-010-4430-x
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DOI: https://doi.org/10.1007/s00595-010-4430-x