CLINICAL EXPERIENCE WITH ENDOSCOPIC ADRENALECTOMY WITH WIDE ENDOSCOPE

-Evaluation of a New Surgical Procedure-

Abstract

Endoscopic adrenalectomy with wide endoscope, which was first reported a few years ago, was performed in three cases of left adreno-cortical adenoma with hypertension. The patient was a was 59-year-old man and 53- and 54-year-old women. The size of tumor in each patient was approximately 2 cm. Intraoperative blood loss during wide endoscopic adrenalectomy was ranged from 128 to 313 ml, and duration of surgery ranged from 2 to 4 hours. The length of the skin incisions in each case was 5 cm. These data show that this new minimally invasive surgical procedure has some benefits compared with conventional open and laparoscopic surgery. In addition, our favorable results suggest that intraorerative ultrasound examination will make it easy to detect small adrenal tomors in the deep retroperitoneal adipose tissue.