Case Report
Laparo-Endoscopic Single Site Surgery of Concomitant Left Adrenalectomy, Leftc, and Bilateral Partial Oophorectomy in a Woman
Chia-Da Lin, Yao-Chou Tsai and Shen-Jen Chang*
Division of Urology, Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, New Taipei City, Taiwan
- *Corresponding Author:
- Shen-Jen Chang
Division of Gynecology
Buddhist Tzu Chi General Hospital
Taipei Branch, 289, Jianguo Road
Xindian, Taipei, Taiwan
Tel: +886-2-6628-9779
Fax: +886-2-6628-9009
E-mail: protist516@yahoo.com.tw
Received date: August 22, 2015 Accepted date: September 14, 2015 Published date: September 21, 2015
Citation: Lin CD, Tsai YC, Jen Chang S (2015) Laparo-Endoscopic Single Site Surgery of Concomitant Left Adrenalectomy, Left Nephroureterectomy, and Bilateral Partial Oophorectomy in a Woman. J Gastrointest Dig Syst 5:341. doi:10.4172/2161-069X.1000341
Copyright: © 2015 Lin CD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Aim: We reported one case who received laparo-endoscopic single site (LESS) surgery for the left adrenal gland, left kidney, and bilateral ovarian cysts. Method: The patient was a 43 year-old female who had a left adrenal tumor, atrophic left kidney with severe hydronephrosis, and bilateral ovarian cysts. We placed a LESS device with 4 working ports through a para-umbilical wound of 3 cm in length. We concomitantly performed a left adrenalectomy, left nephroureterectomy, and bilateral partial oophrectomy with the patient lying on her right side. Results: There were no peri-operative and post-operative complications, and an extra incision was unnecessary. The patient was discharged 5 days after the operation. Discussion: LESS surgery for three concomitant operations with an un-changed position is feasible and safe. Conclusion: This is the first report of three concomitant procedures through one incision, which greatly decreases the number of wounds.