关键词: 肾上腺切除术；单孔；腹腔镜；经脐；手术

Abstract:

Objective   To investigate the clinical feasibility and indications of transumbilical laparoendoscopic single-site surgery of adrenalectomy (LESS-A) with general laparoscopic instruments. Methods   One patient with left nonfunctioning adenoma underwent transumbilical LESS-A. The patient was placed in a 60°modified flank position. A 2cm skin incision using Hasson open technique was made at the level of paraumbilicus for the insertion of the home-made single-port platform. Following the strategy of conventional transperitoneal adrenalectomy， the surgery was performed with general laparoscopic instruments. Finally, specimen was removed through the skin incision. Results   The surgery was performed successfully. No conversion to open or 3-port laparoscopic surgery was necessary. No drainage tube was left. No intra-operative complications was observed, nor post-operative complications after a four-week follow-up. Conclusion   Results have shown its clinical safety and feasibility, and the possibility to become a new gold standard for left adrenalectomy.

Key words: Adrenalectomy; Single-port; Laparoscopic; Transumbilical; Surgery