Laparo-Endoscopic Single Site Surgery of Concomitant Left Adrenalectomy, Left Nephroureterectomy, and Bilateral Partial Oophorectomy in a Woman

Aim: We reported one case who received laparo-endoscopic single site (LESS) surgery for the left adrenal gland, left kidney, and bilateral ovarian cysts. Method: The patient was a 43 year-old female who had a left adrenal tumor, atrophic left kidney with severe hydronephrosis, and bilateral ovarian cysts. We placed a LESS device with 4 working ports through a para-umbilical wound of 3 cm in length. We concomitantly performed a left adrenalectomy, left nephroureterectomy, and bilateral partial oophrectomy with the patient lying on her right side. Results: There were no peri-operative and post-operative complications, and an extra incision was unnecessary. The patient was discharged 5 days after the operation. Discussion: LESS surgery for three concomitant operations with an un-changed position is feasible and safe. Conclusion: This is the first report of three concomitant procedures through one incision, which greatly decreases the number of wounds.