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1、CASEREPORTLaparoscopicSingleSiteAdrenalectomyUsingaConventionalLaparoscopeandInstrumentationModestoJColon,MD,PatrickLeMasters,MD,PhillipaNewell,MD,CeliaDivino,MD,KaareJ.Weber,MD,EdwardH.Chin,MDABSTRACTINTRODUCTIONBackgroundandObjectives:WepresentacaseofLa
2、pa-Inrecentyears,laparoendoscopicsinglesitesurgeryroendoscopicSingleSiteSurgery(LESS)leftadrenalec-(LESS)hasbecomeanacceptedadvanceinminimallytomyperformedwithaconventionallaparoscopeandinvasivesurgery.Thishasstimulatedthedevelopmentofinstruments.roticula
3、tinginstruments,multi-trocarports,flexiblelapa-roscopes,andintracorporealretractors,leadingtotheMethods:A45-year-oldmalewasdiagnosedwithhyper-perceptionthatspecializedequipmentisnecessarytoper-aldosteronism.Computedtomographydetectedaleftad-formLESSproced
4、ures,especiallyformoredifficultoper-renalnodule.Bilateraladrenalveinsamplingwasconsis-ations.WepresentacasereportofLESSadrenalectomytentwithaleft-sidedsourceforhyperaldosteronism.performedwithaconventionallaparoscopeandinstru-Results:Totaloperativetimefor
5、LESSleftadrenalectomyments.was120minutes.Thesurgerywasperformedwithcon-ventionalinstruments,astandard5-mmlaparoscope,andCASEREPORTaSILSport,withnoadditionalincisionsortrocarsneeded.Nocomplicationsoccurred,andthepatientreportedanA45-year-oldmanwithdiabetes
6、mellitusandhyperten-uneventfulrecovery.sionwasdiagnosedwithhyperaldosteronism.Computedtomographydetectedasmallleftadrenalnodule(Figure1).Conclusions:LESSadrenalectomyisafeasibleproce-Bilateraladrenalveinsamplingwasconsistentwithadure.Althougharticulatingi
7、nstrumentsandlaparoscopesleft-sidedsourceforhyperaldosteronism,andthepatientmayofferadvantages,LESSadrenalectomycanbedonewasreferredforleftadrenalectomy.Thepatient’sbodywithoutthese.massindex(BMI)was26kg/m2,andhehadnopriorsurgicalhistory.Hewasconsideredan
8、appropriatecan-KeyWords:Laparoscopicadrenalectomy,Laparoendo-didateforminimallyinvasiveadrenalectomy,andspecif-scopicsinglesitesurgery(LESS),Singlesitesurgery.icallyLESSadrenalectomy.ProcedureThepatientwasplacedinar
