Colon Modesto J, Lemasters Patrick, Newell Phillipa, Divino Celia, Weber Kaare J, Chin Edward H
Department of Surgery, Mount Sinai School of Medicine, New York, New York 10029, USA.
JSLS. 2011 Apr-Jun;15(2):236-8. doi: 10.4293/108680811X13071180407195.
We present a case of Laparoendoscopic Single Site Surgery (LESS) left adrenalectomy performed with a conventional laparoscope and instruments.
A 45-year-old male was diagnosed with hyperaldosteronism. Computed tomography detected a left adrenal nodule. Bilateral adrenal vein sampling was consistent with a left-sided source for hyperaldosteronism.
Total operative time for LESS left adrenalectomy was 120 minutes. The surgery was performed with conventional instruments, a standard 5-mm laparoscope, and a SILS port, with no additional incisions or trocars needed. No complications occurred, and the patient reported an uneventful recovery.
LESS adrenalectomy is a feasible procedure. Although articulating instruments and laparoscopes may offer advantages, LESS adrenalectomy can be done without these.
我们展示了一例使用传统腹腔镜及器械进行的经自然腔道内镜手术（LESS）左侧肾上腺切除术。
一名45岁男性被诊断为醛固酮增多症。计算机断层扫描检测到左侧肾上腺结节。双侧肾上腺静脉采血结果与醛固酮增多症的左侧来源一致。
LESS左侧肾上腺切除术的总手术时间为120分钟。手术使用传统器械、标准5毫米腹腔镜和单孔腹腔镜手术端口，无需额外切口或套管针。未发生并发症，患者报告恢复顺利。
LESS肾上腺切除术是一种可行的手术。尽管关节镜器械和腹腔镜可能具有优势，但LESS肾上腺切除术无需这些也可完成。
