LESS Adrenal Surgery

One-port, single-incision laparoscopy is part of the natural development of minimally invasive surgery. Laparoendoscopic single-site (LESS) surgery has been conceived as a natural evolution to a further reduction of surgical trauma and has been steadily gaining momentum during the past 6 years. The population has a favorable perception of scarless surgery, even in the case of increased procedural risks of complications, in spite of cure and surgical safety being the main concerns. Compared with conventional laparoscopic surgery, LESS adrenal surgery is more difficult. The clear disadvantages of LESS adrenal surgery include instrument congestion around a single port and the inability to achieve adequate triangulation. In this chapter, the LESS adrenalectomy and LESS partial adrenalectomy would be discussed. And particularly in LESS adrenalectomy, the transperitoneal approach and retroperitoneal approach would be represented step by step. The advantages and disadvantages of each transperitoneal approach and retroperitoneal approach during LESS adrenal surgery would be discussed.