Abstract
Introduction
Today, endoscopic adrenalectomy has become a gold standard in endocrine surgery.
Method and Results
To minimize the morbidity and improve cosmesis, a single access retroperitoneoscopic adrenalectomy (SARA) has been developed. Patients were placed in prone position. Through a single 1.5 cm skin incision at the tip of the 12th rib the creation of the retroperitoneal space and the dissection of the adrenal gland were performed. SARA was used in five patients with adrenal tumors (size: 1–4 cm; four right, one left). Operating time ranged from 35 to 70 min, mean blood loss was <10 ml. No perioperative or postoperative complications were noticed. Mean hospital stay was 2 days.
Conclusions
SARA is feasible and represents a new horizon in endocrine surgery.
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References
Gagner M, Lacroix A, Bolte E (1992) Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 327:1033
Higashihara E, Tanaka Y, Horie S et al (1992) A case report of laparoscopic adrenalectomy. Nippon Hinyokika Gakkai Zasshi 83:1130–1133
Brunt LM (2006) Minimal access adrenal surgery. Surg Endosc 20:351–361
Walz MK, Peitgen K, Hoermann R et al (1996) Posterior retroperitoneoscopy as a new minimally invasive approach for adrenalectomy: results of 30 adrenalectomies in 27 patients. World J Surg 20:769–774
Walz MK, Alesina PF, Wenger FA et al (2006) Posterior retroperitoneoscopic adrenalectomy—results of 560 procedures in 520 patients. Surgery 140:943–948, discussion 948–950
Walz MK, Gwosdz R, Levin SL et al (2008) Retroperitoneoscopic adrenalectomy in Conn’s syndrome caused by adrenal adenomas or nodular hyperplasia. World J Surg 32:847–853
Walz MK, Peitgen K, Walz MV et al (2001) Posterior retroperitoneoscopic adrenalectomy: lessons learned within five years. World J Surg 25:728–734
Gagner M (1996) Laparoscopic adrenalectomy. Surg Clin North Am 76:523–537
Marescaux J, Mutter D, Wheeler MH (1996) Laparoscopic right and left adrenalectomies. Surgical procedures. Surg Endosc 10:912–915
Bellantone R, Lombardi CP, Raffaelli M et al (1999) Minimally invasive, totally gasless video-assisted thyroid lobectomy. Am J Surg 177:342–343
Lombardi CP, Raffaelli M, Princi P et al (2006) Video-assisted thyroidectomy: report on the experience of a single center in more than four hundred cases. World J Surg 30:794–800, discussion 801
Miccoli P, Pinchera A, Cecchini G et al (1997) Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism. J Endocrinol Invest 20:429–430
Miccoli P, Berti P, Materazzi G et al (2003) Minimally invasive video assisted parathyroidectomy (MIVAP). Eur J Surg Oncol 29:188–190
Hirano D, Minei S, Yamaguchi K et al (2005) Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol 19:788–792
Ates O, Hakguder G, Olguner M et al (2007) Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg 42:1071–1074
Rao MM, Rao RK (2004) Two-port and single port laparoscopic appendicectomy. J Indian Med Assoc 102:360, 362, 364
Bucher P, Pugin F, Morel P (2008) Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis 23:1013–1016
Ponsky LE, Cherullo EE, Sawyer M et al (2008) Single access site laparoscopic radical nephrectomy: initial clinical experience. J Endourol 22:663–666
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Walz, M.K., Alesina, P.F. Single access retroperitoneoscopic adrenalectomy (SARA)—one step beyond in endocrine surgery. Langenbecks Arch Surg 394, 447–450 (2009). https://doi.org/10.1007/s00423-008-0418-z
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DOI: https://doi.org/10.1007/s00423-008-0418-z