Single incision laparoscopic adrenalectomy – initial experience

Abstract

A laparoscopic approach to the adrenal gland was introduced in 1992. Since then many studies on adult populationsevaluating the safety and results of laparoscopic surgery have been published. A laparoscopic approach to adrenalsurgery in children still remains challenging. During the last 20 years we have observed a tendency to minimize surgicaltrauma that challenged many surgeons to seek new approaches in laparoscopic surgery. Single incision laparoscopicsurgery (SILS), in which all instruments are placed through a single, small incision, might be a step towards lessinvasive surgical procedures. We present two cases of paediatric patients treated in our department with single incisionlaparoscopic adrenalectomy (SILA). According to our best knowledge this report includes the first such procedureperformed in Poland.

Keywords

• adrenalectomy
• laparoscopy
• SILS
• paediatric surgery