Single-port retroperitoneoscopic adrenalectomy: Initial experience and standardization of the technique

The minimally invasive surgical approach to adrenal gland pathology is the most widely used nowadays, and retroperitoneoscopy occupies a relevant place. However, the evolution of these techniques towards even less invasive surgery through single-port access is anecdotal. The aim of this work is to d...

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Published in:Actas urológicas españolas (English ed.) 2021-12, Vol.45 (10), p.609
Main Authors: Vazquez-Martul, D, García-Expósito, M A, Rodríguez-Rey, S, García-Sobrino, R, Barbagelata-López, A, Ponce Díaz-Reixa, J L, Chantada-Abal, V
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Language:eng ; spa
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Adrenal Gland Neoplasms - surgery
Adrenalectomy
Humans
Laparoscopy
Length of Stay
Reference Standards
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container_title Actas urológicas españolas (English ed.)
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creator Vazquez-Martul, D
García-Expósito, M A
Rodríguez-Rey, S
García-Sobrino, R
Barbagelata-López, A
Ponce Díaz-Reixa, J L
Chantada-Abal, V
description The minimally invasive surgical approach to adrenal gland pathology is the most widely used nowadays, and retroperitoneoscopy occupies a relevant place. However, the evolution of these techniques towards even less invasive surgery through single-port access is anecdotal. The aim of this work is to describe our initial experience in single-port retroperitoneoscopic surgery (SPORS) of the adrenal gland focusing on perioperative data and postoperative pain. We collected and analyzed the demographic and operative data of a series of patients undergoing adrenalectomy through SPORS. All procedures were performed through a single 3-4 cm subcostal incision with a multichannel port. Surgical data such as operative time, bleeding, length of stay and presence of complications were collected. We used the visual analog scale (VAS) for postoperative pain assessment. From December 2018 to August 2020, 6 patients with different types of adrenal pathology underwent consecutive surgeries in our Department by the same surgeon using SPORS. All surgeries were performed without requiring accessory trocar placement or reconversion to open surgery. The mean operative time was 91.6 ± 16.3 min, with
doi_str_mv 10.1016/j.acuro.2021.04.002
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subjects Adrenal Gland Neoplasms - surgery
Adrenalectomy
Humans
Laparoscopy
Length of Stay
Reference Standards
title Single-port retroperitoneoscopic adrenalectomy: Initial experience and standardization of the technique
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