Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan.
Surg Endosc. 2011 Apr;25(4):1251-6. doi: 10.1007/s00464-010-1352-z. Epub 2010 Sep 17.
This study aimed to evaluate laparoendoscopic single-site (LESS) adrenalectomy via the retroperitoneal approach using the Alexis wound retractor with standard laparoscopic instrumentation.
Since October 2009, seven LESS retroperitoneal adrenalectomies have been completed successfully with a homemade single port created using an Alexis wound retractor as an access platform through a 3-cm incision beneath the tip of the 12th rib.
All the LESS procedures for these seven patients with adrenal tumors (size, 1.3-6.0 cm; 4 right, 1 left) were completed successfully without traditional laparoscopic conversion or complication. The average operative time was 159 min, and the estimated blood loss was 100 ml. The average hospital stay was 2 days (range, 1-3 days).
The preliminary results show that LESS retroperitoneal adrenalectomy is a safe and feasible procedure for functional adrenal tumors using standard laparoscopic instruments.
本研究旨在评估使用 Alexis 伤口牵开器和标准腹腔镜器械经腹膜后入路进行腹腔镜下单部位（LESS）肾上腺切除术。
自 2009 年 10 月以来，我们成功完成了 7 例 LESS 经腹膜后肾上腺切除术，使用自制的单端口，通过第 12 肋尖端下 3cm 的切口，以 Alexis 伤口牵开器作为进入平台。
这 7 例肾上腺肿瘤患者（肿瘤大小 1.3-6.0cm；4 例右侧，1 例左侧）的所有 LESS 手术均成功完成，无需传统腹腔镜中转或发生并发症。平均手术时间为 159 分钟，估计出血量为 100 毫升。平均住院时间为 2 天（范围 1-3 天）。
初步结果表明，使用标准腹腔镜器械进行 LESS 经腹膜后肾上腺切除术对于功能性肾上腺肿瘤是一种安全可行的方法。
