Laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy using a homemade single-access platform and standard laparoscopic instruments

Chung, Shiu-Dong; Huang, Chao Yuan; Wang, Shuo-Meng; Tai, Huai‐Ching; Tsai, Yao Chou; Chueh, Shih-Chieh

doi:10.1007/s00464-010-1352-z

Cited by 46 publications

(28 citation statements)

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“…Since the first single-port cholecystectomy performed by Piskun and Rajpal [11] in 1999, technical advancements and the increased demand for minimally invasive surgery have led to several reported LESS procedures including cholecystectomy [12], hepatectomy [13], appendectomy [3], adrenalectomy [14], colectomy [15], nephrectomy [16], and splenectomy [17].…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic single-site totally extraperitoneal adult inguinal hernia repair: initial 100 patients

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Laparoendoscopic single-site totally extraperitoneal adult inguinal hernia repair: initial 100 patients

et al. 2011

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“…The major challenges of LESS include clashing of instruments, lack of triangulation and unnecessary re-grasping times [22]. Although these challenges might be overcome by the use of articulating instruments, current laparoscopic articulating instruments can be difficult to use, are bulky, lack powerful strength to provide firm retraction and are generally non-ergonomic [9,23].…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic Single-Site Retroperitoneoscopic Adrenalectomy versus Conventional Retroperitoneoscopic Adrenalectomy: Initial Experience by the Same Laparoscopic Surgeon

Sheng¹,

Yeh²,

Wu³

et al. 2013

Urol Int

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Purpose: The purpose of this study was to demonstrate our initial experience with and the feasibility of laparoendoscopic single-site retroperitoneoscopic adrenalectomy (LESS-RA). Patients and Methods: 54 patients undergoing conventional retroperitoneoscopic adrenalectomy were compared with 27 patients undergoing LESS-RA. The adrenal tumors were considered to be benign preoperatively and <6 cm. Age, sex, laterality, body mass index, surgical indications, time to resuming oral intake, tumor size, operation time, estimated blood loss, intravenous or intramuscular analgesics (pethidine) and postoperative hospital stay were compared between the two groups. Analysis of covariance was applied to analyze postoperative hospital stay and time to resuming oral intake. Results: The length of postoperative hospital stay was significantly higher in the conventional retroperitoneoscopic adrenalectomy group in the adjusted and unadjusted model. The time to resuming oral intake was significant shorter in the LESS-RA group, but was not significant after adjusting opioid analgesics dosage. No conversions to an open or conventional retroperitoneoscopic approach were necessary. There were neither complications nor blood transfusions in both groups. Conclusions: LESS-RA for benign adrenal tumors is a feasible surgical procedure when tumors are <6 cm. Further clinical research is warranted to define the role of LESS in adrenal surgery and to prove its efficacy over conventional laparoscopic surgery.

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“…Zu den "klassischen" minimalinvasi ven Verfahren der Adrenalektomie sind in den letzten Jahren weitere Techniken hin zugekommen, die mit einem einzigen Zu gang ("single access") auskommen, wie derum als laparoskopische [4,8] oder re troperitoneskopische Variante [5]. Die Instrumente und Optiken werden über spezielle Ports [9] oder parallel einge brachte Trokare [5] geführt.…”

Section: Operationsmethodenunclassified

Minimal-invasive Nebennierenchirurgie

Walz

2012

Chirurg

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Currently adrenal gland surgery can be performed by a variety of laparoscopic and retroperitoneoscopic approaches. Of particular importance are the lateral laparoscopic and posterior retroperitoneoscopic approaches. Comparative studies of transperitoneal and retroperitoneal adrenalectomy demonstrate heterogeneous results. Nevertheless, retroperitoneal techniques may offer less postoperative pain and faster recovery. All these minimally invasive techniques are safe and reliable and have replaced open approaches in most cases.

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Laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy using a homemade single-access platform and standard laparoscopic instruments

Abstract: The preliminary results show that LESS retroperitoneal adrenalectomy is a safe and feasible procedure for functional adrenal tumors using standard laparoscopic instruments.

Cited by 46 publications

References 23 publications

Laparoendoscopic single-site totally extraperitoneal adult inguinal hernia repair: initial 100 patients

Laparoendoscopic single-site totally extraperitoneal adult inguinal hernia repair: initial 100 patients

Laparoendoscopic Single-Site Retroperitoneoscopic Adrenalectomy versus Conventional Retroperitoneoscopic Adrenalectomy: Initial Experience by the Same Laparoscopic Surgeon

Minimal-invasive Nebennierenchirurgie

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