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Scar-Less Surgery pp 281–291Cite as

LESS: Adrenal Surgery

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Abstract

Adrenal surgery has been an operative niche shared by urologists and general surgeons. Traditionally, adrenal surgery has provided extirpative options for adrenal tumors, including those suspicious for adrenal cortical carcinoma, functional adrenal adenomas, and cases where metastectomy of adrenal lesions were targeted. With the advent of laparoscopy, minimally invasive surgical access to the adrenal glands forged ahead, beginning with its first report in 1992. The anatomic position of the adrenals located within the upper retroperitoneum inspired surgeons to further expand upon traditional transperitoneal laparoscopy and explore the retroperitoneoscopic approach.

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References

  1. Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med. 1992;327(14):1033.

    Article  PubMed  CAS  Google Scholar 

  2. Zhang X, Fu B, Lang B, Zhang J, Xu K, Li HZ, Ma X, Zheng T. Technique of anatomical retroperitoneoscopic adrenalectomy with report of 800 cases. J Urol. 2007;177(4):1254–7.

    Article  PubMed  Google Scholar 

  3. Hansen P, Bax T, Swanstrom L. Laparoscopic adrenalectomy: history, indications, and current techniques for a minimally invasive approach to adrenal pathology. Endoscopy. 1997;29(4):309–14.

    Article  PubMed  CAS  Google Scholar 

  4. Guazzoni G, Montorsi F, Bocciardi A, Da Pozzo L, Rigatti P, Lanzi R, Pontiroli A. Transperitoneal laparoscopic versus open adrenalectomy for benign hyperfunctioning adrenal tumors: a comparative study. J Urol. 1995;153(5):1597–600.

    Article  PubMed  CAS  Google Scholar 

  5. Schell SR, Talamini MA, Udelsman R. Laparoscopic adrenalectomy for nonmalignant disease: improved safety, morbidity, and cost-effectiveness. Surg Endosc. 1999;13(1):30–4.

    Article  PubMed  CAS  Google Scholar 

  6. Smith CD, Weber CJ, Amerson JR. Laparoscopic adrenalectomy: new gold standard. World J Surg. 1999;23(4):389–96.

    Article  PubMed  CAS  Google Scholar 

  7. Vargas HI, Kavoussi LR, Bartlett DL, Wagner JR, Venzon DJ, Fraker DL, Alexander HR, Linehan WM, Walther MM. Laparoscopic adrenalectomy: a new standard of care. Urology. 1997;49(5):673–8.

    Article  PubMed  CAS  Google Scholar 

  8. Hirano D, Minei S, Yamaguchi K, Yoshikawa T, Hachiya T, Yoshida T, Ishida H, Takimoto Y, Saitoh T, Kiyotaki S, Okada K. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol. 2005;19(7):788–92.

    Article  PubMed  Google Scholar 

  9. Tunca F, Senyurek YG, Terzioglu T, Sormaz IC, Tezelman S. Single-incision laparoscopic left adrenalectomy. Surg Laparosc Endosc Percutan Tech. 2010;20(4):291–4.

    Article  PubMed  Google Scholar 

  10. Ryu DS, Park WJ, Oh TH. Retroperitoneal laparoendoscopic single-site surgery in urology: initial experience. J Endourol. 2009;23(11):1857–62.

    Article  PubMed  Google Scholar 

  11. Perretta S, Allemann P, Asakuma M, Dallemagne B, Marescaux J. Adrenalectomy using natural orifice translumenal endoscopic surgery (NOTES): a transvaginal retroperitoneal approach. Surg Endosc. 2009;23(6):1390.

    Article  PubMed  Google Scholar 

  12. Shi TP, Zhang X, Ma X, Li HZ, Zhu J, Wang BJ, Gao JP, Cai W, Dong J. Laparoendoscopic single-site retroperitoneoscopic adrenalectomy: a matched-pair comparison with the gold standard. Surg Endosc. 2011;25:2117–24. Epub 2010 Dec 18.

    Article  PubMed  Google Scholar 

  13. Jeong BC, Park YH, Han DH, Kim HH. Laparoendoscopic single-site and conventional laparoscopic adrenalectomy: a matched case-control study. J Endourol. 2009;23(12):1957–60.

    Article  PubMed  Google Scholar 

  14. Allemann P, Perretta S, Marescaux J. Surgical access to the adrenal gland: the quest for a “no visible scar” approach. Surg Oncol. 2009;18(2):131–7.

    Article  PubMed  CAS  Google Scholar 

  15. Yuge K, Miyajima A, Hasegawa M, Miyazaki Y, Maeda T, Takeda T, Takeda A, Miyashita K, Kurihara I, Shibata H, Kikuchi E, Oya M. Initial experience of transumbilical laparoendoscopic single-site surgery of partial adrenalectomy in patient with aldosterone-producing adenoma. BMC Urol. 2010;10:19.

    Article  PubMed  Google Scholar 

  16. Jeong CW, Park YH, Shin CS, Kim HH. Synchronous bilateral laparoendoscopic single-site adrenalectomy. J Endourol. 2010;24(8):1301–5.

    Article  PubMed  Google Scholar 

  17. Nozaki T, Ichimatsu K, Watanabe A, Komiya A, Fuse H. Longitudinal incision of the umbilicus for laparoendoscopic single site adrenalectomy: a particular intraumbilical technique. Surg Laparosc Endosc Percutan Tech. 2010;20(6):e185–8.

    Article  PubMed  Google Scholar 

  18. Castellucci SA, Curcillo PG, Ginsberg PC, Saba SC, Jaffe JS, Harmon JD. Single port access adrenalectomy. J Endourol. 2008;22(8):1573–6.

    Article  PubMed  Google Scholar 

  19. Cindolo L, Gidaro S, Tamburro FR, Schips L. Laparo-endoscopic single-site left transperitoneal adrenalectomy. Eur Urol. 2010;57(5):911–4.

    Article  PubMed  Google Scholar 

  20. Rais-Bahrami S, Montag S, Atalla MA, et al. Laparoendoscopic single-site surgery of the kidney with no accessory trocars: an initial experience. J Endourol. 2009;23(8):1319–24.

    Article  PubMed  Google Scholar 

  21. Andonian S, Herati AS, Atalla MA, Rais-Bahrami S, Richstone L, Kavoussi LR. Laparoendoscopic single-site pfannenstiel donor nephrectomy. Urology. 2010;75(1):9–12.

    Article  PubMed  Google Scholar 

  22. Walz MK, Alesina PF. Single access retroperitoneoscopic adrenalectomy (SARA) – one step beyond in endocrine surgery. Langenbecks Arch Surg. 2009;394(3):447–50.

    Article  PubMed  Google Scholar 

  23. Collinson FJ, Lam TK, Bruijn WM, de Wilt JH, Lamont M, Thompson JF, Kefford RF. Long-term survival and occasional regression of distant melanoma metastases after adrenal metastasectomy. Ann Surg Oncol. 2008;15(6):1741–9.

    Article  PubMed  CAS  Google Scholar 

  24. Ambrogi V, Tonini G, Mineo TC. Prolonged survival after extracranial metastasectomy from synchronous resectable lung cancer. Ann Surg Oncol. 2001;8(8):663–6.

    Article  PubMed  CAS  Google Scholar 

  25. Kohli M, Viswamitraa S, Schaefer R, Faas FH, Kumar U. Metastasectomy for isolated bilateral adrenal metastases in hormone-refractory prostate cancer. Clin Adv Hematol Oncol. 2006;4(10):754–5.

    PubMed  Google Scholar 

  26. Mazzaglia PJ, Vezeridis MP. Laparoscopic adrenalectomy: balancing the operative indications with the technical advances. J Surg Oncol. 2010;101(8):739–44.

    Article  PubMed  Google Scholar 

  27. Asbun HJ, Straznicka M, Strong VE. The role of minimal access surgery for metastasectomy and cytoreduction. Surg Oncol Clin N Am. 2007;16(3):607–25, ix.

    Article  PubMed  Google Scholar 

  28. Cindolo L, Gidaro S, Neri F, Tamburro FR, Schips L. Assessing feasibility and safety of laparoendoscopic single-site surgery adrenalectomy: initial experience. J Endourol. 2010;24(6):977–80.

    Article  PubMed  Google Scholar 

  29. Fassnacht M, Allolio B. What is the best approach to an apparently nonmetastatic adrenocortical carcinoma? Clin Endocrinol (Oxf). 2010;73(5):561–5.

    Article  CAS  Google Scholar 

  30. Brix D, Allolio B, Fenske W, Agha A, Dralle H, Jurowich C, Langer P, Mussack T, Nies C, Riedmiller H, Spahn M, Weismann D, Hahner S, Fassnacht M, German Adrenocortical Carcinoma Registry Group. Laparoscopic versus open adrenalectomy for adrenocortical carcinoma: surgical and oncologic outcome in 152 patients. Eur Urol. 2010;58(4):609–15.

    Article  PubMed  Google Scholar 

  31. Sharma R, Ganpule A, Veeramani M, Sabnis RB, Desai M. Laparoscopic management of adrenal lesions larger than 5 cm in diameter. Urol J. 2009;6(4):254–9.

    PubMed  Google Scholar 

  32. Gill IS, Advincula AP, Aron M, Caddedu J, Canes D, Curcillo 2nd PG, Desai MM, Evanko JC, Falcone T, Fazio V, Gettman M, Gumbs AA, Haber GP, Kaouk JH, Kim F, King SA, Ponsky J, Remzi F, Rivas H, Rosemurgy A, Ross S, Schauer P, Sotelo R, Speranza J, Sweeney J, Teixeira J. Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc. 2010;24(4):762–8.

    Article  PubMed  Google Scholar 

  33. Ishida M, Miyajima A, Takeda T, Hasegawa M, Kikuchi E, Oya M. Technical difficulties of transumbilical laparoendoscopic single-site adrenalectomy: comparison with conventional laparoscopic adrenalectomy. World J Urol. 2010 [Epub ahead of print].

    Google Scholar 

  34. Walz MK, Groeben H, Alesina PF. Single-access retroperitoneoscopic adrenalectomy (SARA) versus conventional retroperitoneoscopic adrenalectomy (CORA): a case-control study. World J Surg. 2010;34(6):1386–90.

    Article  PubMed  Google Scholar 

  35. Chung SD, Huang CY, Wang SM, Tai HC, Tsai YC, Chueh SC. Laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy using a homemade single-access platform and standard laparoscopic instruments. Surg Endosc. 2011;25(4):1251–6.

    Article  PubMed  Google Scholar 

  36. Jeon HG, Jeong W, Oh CK, Lorenzo EI, Ham WS, Rha KH, Han WK. Initial experience with 50 laparoendoscopic single site surgeries using a homemade, single port device at a single center. J Urol. 2010;183(5):1866–71.

    Article  PubMed  Google Scholar 

  37. Lee SW, Lee JY. Laparoendoscopic single-site urological surgery using a homemade single port device: the first 70 cases performed at a single center by one surgeon. J Endourol. 2011;25(2):257–64.

    Article  PubMed  Google Scholar 

  38. Zhang X, Shi TP, Li HZ, Ma X, Wang BJ. Laparo-endoscopic single site anatomical retroperitoneoscopic adrenalectomy using conventional instruments: initial experience and short-term outcome. J Urol. 2011;185(2):401–6.

    Article  PubMed  Google Scholar 

  39. Kaouk JH, Goel RK, Haber GP, Crouzet S, Stein RJ. Robotic single-port transumbilical surgery in humans: initial report. BJU Int. 2009;103(3):366–9.

    Article  PubMed  Google Scholar 

  40. Stein RJ, White WM, Goel RK, Irwin BH, Haber GP, Kaouk JH. Robotic laparoendoscopic single-site surgery using GelPort as the access platform. Eur Urol. 2010;57(1):132–6.

    Article  PubMed  Google Scholar 

  41. Göpel T, Härtl F, Schneider A, Buss M, Feussner H. Automation of a suturing device for minimally invasive surgery. Surg Endosc. 2011;25:2100–4. Epub 2011 Feb 7.

    Article  PubMed  Google Scholar 

  42. Terry BS, Ruppert AD, Steinhaus KR, Schoen JA, Rentschler ME. An integrated port camera and display system for laparoscopy. IEEE Trans Biomed Eng. 2010;57(5):1191–7.

    Article  PubMed  Google Scholar 

  43. Swain P, Austin R, Bally K, Trusty R. Development and testing of a tethered, independent camera for NOTES and single-site laparoscopic procedures. Surg Endosc. 2010;24(8):2013–21.

    Article  PubMed  Google Scholar 

  44. Raman JD, Scott DJ, Cadeddu JA. Role of magnetic anchors during laparoendoscopic single site surgery and NOTES. J Endourol. 2009;23(5):781–6.

    Article  PubMed  Google Scholar 

  45. Kaouk JH, Autorino R, Kim FJ, Han DH, Lee SW, Yinghao S, Cadeddu JA, Derweesh IH, Richstone L, Cindolo L, Branco A, Greco F, Allaf M, Sotelo R, Liatsikos E, Stolzenburg JU, Rane A, White WM, Han WK, Haber GP, White MA, Molina WR, Jeong BC, Lee JY, Linhui W, Best S, Stroup SP, Rais-Bahrami S, Schips L, Fornara P, Pierorazio P, Giedelman C, Lee JW, Stein RJ, Rha KH. Laparoendoscopic single-site surgery in urology: worldwide multi-institutional analysis of 1076 cases. Eur Urol. 2011;60(5):998–1005.

    Google Scholar 

  46. Tracy CR, Raman JD, Cadeddu JA, Rane A. Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol. 2008;5(10):561–8.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. The Smith Institute for Urology, The Hofstra-North Shore LIJ School of Medicine, 450 Lakeville Road Suite M41, New Hyde Park, 11040, NY, USA

    Soroush Rais-Bahrami M.D. & Lee Richstone M.D.

Authors
  1. Soroush Rais-Bahrami M.D.
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  2. Lee Richstone M.D.
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Corresponding author

Correspondence to Soroush Rais-Bahrami M.D. .

Editor information

Editors and Affiliations

  1. , Department of Urology, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, United Kingdom

    Abhay Rane

  2. , Department of Urology, University of Texas Southwestern Medical, Harry Hines Boulevard, Dallas, 75390, Texas, USA

    Jeffrey A. Cadeddu

  3. , Department of Urology, USC Institute of Urology, San Pablo Street, Los Angeles, 90089, California, USA

    Mihir M. Desai

  4. USC Institute of Urology, San Pablo Street, Los Angeles, 90089, California, USA

    Inderbir S. Gill

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Rais-Bahrami, S., Richstone, L. (2013). LESS: Adrenal Surgery. In: Rane, A., Cadeddu, J., Desai, M., Gill, I. (eds) Scar-Less Surgery. Springer, London. https://doi.org/10.1007/978-1-84800-360-6_22

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  • DOI: https://doi.org/10.1007/978-1-84800-360-6_22

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84800-359-0

  • Online ISBN: 978-1-84800-360-6

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