|
KMID : 0986520110110040283
|
|
Korean Journal of Endoscrine Surgery
2011 Volume.11 No. 4 p.283 ~ p.286
|
|
|
Initial Experience of Single Port Transperitoneal Laparoscopic Adrenalectomy
|
|
Lee Jae-Kwan
Kwak Ha-Na
Yun Ji-Sup
Park Yong-Lai
Park Chan-Heun
|
|
|
Abstract
|
|
|
Purpose: Single port laparoscopic surgery is an area of active investigation in abdominal surgery. A standard procedure for single port laparoscopic adrenal surgery has not been established. We retrospectively investigated intraoperative and postoperative outcomes following laparoscopic adrenalectomy via mono-port (LAMP).
Methods: Between March 2009 and December 2009,10 patients underwent LAMP at Kangbuk Samsung Hospital. The same surgeon performed all surgeries. The first 5 cases underwent LAMP using an Alexis Wound Retractor (Applied Medical, Rancho Santa Margarita, CA, USA) with surgical gloves, and others were done with an OCTO Port (Dalim Surgnet, Korea).
Results: Of the 10 patients, 5 were male and 5 were female. The mean age was 43.7±9.9 years (range, 34∼62), and the mean BMI was 24.1±4.0 kg/m2 (Range, 17.1∼30.0). The mean tumor size was 32.5±16.9 mm (range, 12∼60),mean operative time was 127.0±29.5 min (range, 90∼180), and mean hospital stay was 4.5 days (range, 3∼7). Three patients were diagnosed with non-functioning cortical adenoma, 3 with Cushing’s syndrome, 2 patients with pheochromocytoma, and others with primarily hyperaldosteronism and myelolipoma. Major postoperative morbidity, blood transfusions, or conversion to open surgery did not occur.
Conclusion: The outcome of LAMP demonstrates the safety and feasibility of this procedure. With increasing surgeon experience and refinement in instrument technology, we believe LAMP is likely to become a standard approach to adrenal disease.
|
|
|
KEYWORD
|
|
|
Adrenalectomy, Laparoscopic surgery, Laparoscopic adrenalectomy via monoport
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|