Gao Yi, Chen Ming, Xu Dan-feng, Liu Yu-shan, Cui Xin-gang, Yao Ya-cheng, Ren Ji-zhong, Che Jian-ping, Chen Jie, Wang Jun-kai, Chen Lu, Li Yao, Gan Si-shun, Ye Jian-qing
Department of Urology, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Zhonghua Yi Xue Za Zhi. 2011 Jul 12;91(26):1840-2.
To summarize our preliminary clinical experiences of laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy.
Since October 2009 to January 2011, the investigators have performed LESS retroperitoneal adrenalectomy for 7 patients with adrenal tumors. A waist axillary midline incision of around 2 - 3 cm was made and a single incision for inserting a homemade port. Cambridge endo flexible laparoscopic instrument and other common laparoscopic accessories were used during the surgical procedures.
LESS retroperitoneal adrenalectomies were technically successful in 6 cases with no extra skin incisions, no conversion into an open procedure or standard laparoscopy. Conversion to standard laparoscopy (3 ports) was inevitable in one case. The reason for conversion was due to tumor size (6 cm). No perioperative complication occurred. The mean operative duration was 139 min (95 - 200 min), the mean volume of blood loss 96 ml (30 - 350 ml) and the mean hospital stay 5 d (3 - 8 d).
LESS retroperitoneal adrenalectomy is technically feasible and safe for the treatment of small adrenal tumors.
总结我们经自然腔道内镜手术（LESS）行后腹腔镜肾上腺切除术的初步临床经验。
自2009年10月至2011年1月，研究人员为7例肾上腺肿瘤患者实施了LESS后腹腔镜肾上腺切除术。在腰部腋中线做一个约2 - 3厘米的切口，并做一个单一切口用于插入自制端口。手术过程中使用了剑桥内镜柔性腹腔镜器械及其他常见腹腔镜附件。
6例LESS后腹腔镜肾上腺切除术在技术上取得成功，无额外皮肤切口，未转为开放手术或标准腹腔镜手术。1例因肿瘤大小（6厘米）不可避免地转为标准腹腔镜手术（三孔法）。无围手术期并发症发生。平均手术时间为139分钟（95 - 200分钟），平均失血量为96毫升（30 - 350毫升），平均住院时间为5天（3 - 8天）。
LESS后腹腔镜肾上腺切除术在技术上对于治疗小肾上腺肿瘤是可行且安全的。
