Laparo-endoscopic single-site left transperitoneal adrenalectomy.
نویسندگان
چکیده
A 53-yr-old woman presented with abdominal pain. Ultrasonography, computed tomography, and an endocrinologic work-up revealed a 4-cm nonfunctional left adrenal mass. A TriPort laparoscopic adrenalectomy was performed. The TriPort was inserted through a 3-cm subcostal incision. Using 5-mm instruments, a left adrenalectomy was performed. The specimen was dissected (harmonic scalpel) and extracted through a 10-mm bag. A TriPort adrenalectomy was successfully completed in 240 min (blood loss: 20 ml). The postoperative period was uneventful (discharge within 3 d). In our opinion, the TriPort adrenalectomy is feasible and safe, with favourable perioperative and short-term outcomes and a delighted patient at the 8-mo follow-up.
منابع مشابه
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 len...
متن کاملThe Impact of Obesity on Laparo-Endoscopic Single-Site (LESS) Appendectomy in Children
Our study aimed to clarify the relationship between obesity and the risk of postoperative morbidity following LESS appendectomy. We performed a retrospective review of all patients who underwent LESS appendectomy from January 2013 to December 2016.LESS appendectomy was performed in 109 patients during the study period. Among these patients, 17 (15.6%) were obese.There were no significant diff...
متن کاملTotally Transanal Laparo-Endoscopic Single-Site ProctoColectomy-Ileoanal J-Pouch (TLPC-J): An Experimental Study of a Novel Approach
Background: The natural orifice transluminal endoscopic surgery (NOTES) has become a commonly considered novel approach in the surgical field. The NOTES provide possibility of operation through the natural orifice and decreases the intentional puncture of the systemic organ and subsequent complications. Totally transanal laparo-endoscopic single-site proctoColectomy-Ileoanal J-Pouch (TLPC-J) is...
متن کاملEndoscopic treatment of bilateral pheochromocytoma in MEN 2A syndrome: case report and review of the literature.
The benefits of laparoscopic adrenalectomy for single adrenal lesion have been well documented in literature; less experience though has been reported with simultaneous bilateral laparoscopic adrenalectomy. This operation is indicated in case of primary hypercortisolism caused by bilateral adrenocortical hyperfunction, Cushing's disease after failure of pituitary surgery, ectopic adrenocorticot...
متن کاملLaparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy: A Prospective Pilot Evaluation
Introduction. Laparo-endoscopic single-site surgery (LESS) may diminish morbidity of laparoscopic surgery. We prospectively evaluated feasibility and outcomes of LESS-Radical Nephrectomy (LESS-RN) and Partial Nephrectomy (LESS-PN). Methods. 10 patients underwent LESS-RN (6) and LESS-PN (4) between 2/2009-5/2009. LESS-RN included 2 with renal vein thrombectomy, one of which was also cytoreductiv...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- European urology
دوره 57 5 شماره
صفحات -
تاریخ انتشار 2010