Single Incision Laparoscopic Adrenalectomy

Nihat Yavuz, MD, Serkan Teksoz, MD, Sabri Erguney, MD, Mete Duren, MD, Tuna Yildirim, MD, Sirri Ozkan, MD. Istanbul University,Cerrahpasa Medical School,General Surgery Department and Acibadem Kadikoy Hospital,General Surgery Department

Introduction:
Running parallel to technological advances, laparoscopic surgery continues to evolve since its beginning. One of the recent advances in this field is laparoscopy performed through a single incision.In this study we present our first experiences on adrenalectomies through a single incision.
Materials and Methods:
From November 2009 to September 2010 we performed single incision laparoscopic adrenalectomy in 9 patients,seven of them being woman.The mean age was 43 (range:40-56). Seven patients presented with Conn and two with Cushing syndrome.Seven adenomas were on the left side.The mean diameter of the adenomas was 2.25cm (1.5-4.5cm). The procedures were realized using a SILS portTM (COVIDIEN®) , flexible and articulated instruments (COVIDIEN®) and energy sources as Ligasure®),Ultracision®)
Results:
Average operative time was 48 minutes (40-60min.).No any operation was converted to conventional laparoscopy with additional trochar or open procedure. No any peroperative,nor postoperative complication occured. Nonsteroid antiinflammatory agents had been sufficient for postoperative analgesia.Mean hospital stay was 1.4day (1-3 day).
Conclusion:
With its advantages as unique incision and better cosmetic result, single incision laparoscopic adrenalectomy may be an alternative method to its multiport counterpart
 

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