Initial Experiences with a New Technique for Adrenal Surgery: Single-Port Adrenalectomy Retroperitoneoscopically (SPAR)

Abstract Introduction: Since the introduction of transperitoneal laparoscopic adrenalectomy,1 several retroperitoneal techniques have emerged. Retroperitoneoscopy can be performed with the patient in lateral or prone position.2,3 Standard three trocars are being used, but single-access retroperitoneal adrenalectomy is a new technique of which, few reports exist.4 The use of straight instruments for this procedure was reported only once.5 In our center, single-port adrenalectomy retroperitoneoscopically (SPAR) was started in 2011. Based on the literature, this retroperitoneoscopic technique was performed only in patients with small benign tumors (≤6 cm) and low body mass index (BMI) (<30).6 To our knowledge, this is the first video in urological literature showing this technique (duration 8.49 minutes). The results after seven procedures were evaluated. Materials and Methods: From May 2011 until February 2013, seven patients with either benign adrenal tumors or treatment-refractory Cushing underwent unilat...