{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:03:14Z","timestamp":1777921394672,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study was to introduce the modified mini-laparoscopic adrenalectomy and investigate the advantage of operative time, cosmetic effect, and pain reduction by comparing the modified mini-laparoscopic adrenalectomy and laparoendoscopic single-site surgery (LESS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Patients:<\/jats:title>\n                    <jats:p>Between May 2015 and Jun 2018, 76 consecutive patients with adrenal tumor underwent laparoscopic adrenalectomy. Of which, 36 cases were in the mini-laparoscopic surgery group (the M group) and 40 cases in the LESS group. Medical records of the consecutive patients were analyzed. The operative time, blood loss, the Visual Analog Scale (VAS) scores and the Scar Cosmesis Assessment and Rating (SCAR) Scale scores were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean operative time in the M group was significantly less than that of in the LESS group (54.75\u2009\u00b1\u20099.37\u2009min vs. 106.48\u2009\u00b1\u200919.71\u2009min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01). Mean estimated blood loss did not differ between the 2 groups (12.22\u2009\u00b1\u20095.29\u2009mL vs. 10.80\u2009\u00b1\u20096.66\u2009mL,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). The mean VAS scores in the M group were significantly lower than those of the LESS group on postoperative days (POD) 1 and 3. The SCAR scale scores at POD 60 were similar in the M group and the LESS group (0.86\u2009\u00b1\u20090.64 vs. 0.95\u2009\u00b1\u20090.71,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Modified mini-laparoscopic adrenalectomy is safe and convenient. It offered less operative time, significant cosmetic benefit, and reduced incisional pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2019.0554","type":"journal-article","created":{"date-parts":[[2019,10,15]],"date-time":"2019-10-15T17:16:10Z","timestamp":1571159770000},"page":"1544-1548","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of Cosmetic Effect and Pain Reduction Outcomes of Modified Mini-Laparoscopy Versus Laparoendoscopic Single-Site Surgery for Adrenalectomy"],"prefix":"10.1177","volume":"29","author":[{"given":"Wei","family":"Chen","sequence":"first","affiliation":[{"name":"Urology Department, Zhongshan Hospital, Fudan University, Shanghai, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi-Bing","family":"Xu","sequence":"additional","affiliation":[{"name":"Urology Department, Zhongshan Hospital, Fudan University, Shanghai, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Xu","sequence":"additional","affiliation":[{"name":"Urology Department, Zhongshan Hospital, Fudan University, Shanghai, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian-Ming","family":"Guo","sequence":"additional","affiliation":[{"name":"Urology Department, Zhongshan Hospital, Fudan University, Shanghai, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,4]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-8914-x"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.07.039"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318237826b"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31827b7818"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1208-6"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7486"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-013-1113-2"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3182615776"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(01)80009-4"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65378-5"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2011.02932.x"},{"key":"e_1_3_5_13_2","first-page":"1772","article-title":"Laparoendoscopic single-site adrenalectomy sans transumbilical approach: Initial experience in Japan","volume":"11","author":"Inoue S","year":"2014","unstructured":"Inoue S, , Ikeda K, , Kajiwara M, et al. Laparoendoscopic single-site adrenalectomy sans transumbilical approach: Initial experience in Japan. Urol J, 2014; 11:1772\u20131776.","journal-title":"Urol J"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680812X13462882737096"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0363"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2019.0554","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0554","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0554","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:53:22Z","timestamp":1777665202000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2019.0554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,1]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12,1]]}},"alternative-id":["10.1089\/lap.2019.0554"],"URL":"https:\/\/doi.org\/10.1089\/lap.2019.0554","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,1]]}}}