Abstract
Abstract Background: Endoscopic adrenalectomy is currently performed using multiple ports placed either transabdominally or retroperitoneally. Single-access laparoscopic adrenalectomy has been described, but has yet to be widely adopted.1 We report our technique of single-incision retroperitoneoscopic adrenalectomy (SIRA).2 Methods and Materials: We present a case of a 53-year-old male with an incidentally found 4.5 cm right adrenal mass on CT scan performed after a motor vehicle accident. Biochemical evaluation revealed that this was a nonfunctioning nodule. Surgery was recommended given the size of the mass. A right SIRA was performed by first placing the patient in a prone position. Noncompressive bolsters were used to allow the abdominal contents to fall forward and expand the retroperitoneal working space. The retroperitoneal space was entered through a direct cut down through a 2 cm skin incision made just below the inferior border of the 12th rib. A mini GelPoint device equipped with three 5 mm por...
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