Senol Carilli, MD1, Bulent Gurbuz, MD1, Orhan Agcaoglu, MD2, Onur Bayram, MD2, Derya S Uymaz, MD2, Cagri Bilgic, MD2, Serdar Tezelman, MD2. 1VKV American Hospital, General Surgery Clinic, 2Koc University, School of Medicine, Department of General Surgery
Background: Minimally invasive techniques have gained popularity during the recent decades. The aim of this study was to evaluate a new approach for Single incision laparoscopic adrenalectomy (SILA).
Methods: Between 2008 and 2015, the patients who underwent laparoscopic multi-port transabdominal adrenalectomy (LMTA) and SILA were evaluated in terms of patient demographics, duration of hospital stay, operative time, tumor size and final pathology. LMTA procedures were performed by conventional trocars and SILA procedures were performed by low profile trocars which were used from a single 3 cm skin incision.
Results: The study included a total of 42 patients. There were 15 male and 28 female patients. LMTA was performed in 21 patients and SILA was performed in 21 patients. Average operative time was 83.9 minutes in LTA group and 98.6 minutes in SILA group. Average duration of hospital stay was 3 days in both study groups. Mean tumor size was 41.9 mm in LTA and 32.4 mm in SILA group. 25 of the patients were operated for cortical adenoma, 7 pheochromocytoma, 5 metastasis of adenocarcinoma, 2 adrenal cyst, 2 for myelolipoma and one patient ganglioneuroma. All patients were discharged uneventfully on postoperative day 2 and there were not any complication developed.
Conclusion: Single-incision laparoscopic adrenalectomy technique provides good cosmetic results and similar outcomes compared to multiport technique. We believe that the use of low profile trocars for SILA technique is also lower the cost of surgery compared to other single incision torcars.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80264
Program Number: P702
Presentation Session: Poster (Non CME)
Presentation Type: Poster