{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:55:48Z","timestamp":1781571348382,"version":"3.54.5"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Laparoendoscopic single\u2010site surgery is a recently innovated urologic surgical procedure. Transumbilical laparoendoscopic single\u2010site adrenalectomy (LESS\u2010A) is technically safe and feasible in patients with benign adrenal tumors. To improve patient counseling and informed consent, we evaluated patient\u2010reported postoperative pain, body image, and cosmetic satisfaction after transumbilical LESS\u2010A.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed 24 patients who underwent transumbilical LESS\u2010A and assessed their operative and esthetic outcomes and incisional pain. Incisional pain was evaluated using a 10\u2010point visual analog scale, and the body image and cosmetic satisfaction were measured using a questionnaire that included a body image scale (range, 5\u201320 points) and a cosmetic scale (range, 3\u201324 points).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pure LESS\u2010A was performed on 10 patients using a multichannel port; an additional 5\u2010mm trocar was used in two obese patients. Supplementary to the single\u2010incision approach, one or two 3\u2010mm ports were used in 12 patients. The mean operative time was 203\u00a0min; the mean blood loss was 41\u00a0mL. The mean pain visual analog scale scores on postoperative days 1, 3, and 7 were 3.5, 2.2 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.012), and 1.5 points (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.018), respectively. The mean body image scale and cosmetic scale scores indicating wound satisfaction 1\u00a0month after the surgery were 20 and 22 points, respectively. Although one patient had liver injury during surgery, the postoperative course during the 3\u2010month follow\u2010up was uneventful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transumbilical LESS\u2010A confers less postoperative pain and better cosmetic satisfaction than conventional laparoscopic adrenalectomy. Therefore, this procedure could potentially become a standard treatment option for benign adrenal tumors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12361","type":"journal-article","created":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T08:44:33Z","timestamp":1485938673000},"page":"289-294","source":"Crossref","is-referenced-by-count":6,"title":["Patient\u2010reported postoperative pain, body image, and cosmetic satisfaction after transumbilical laparoendoscopic single\u2010site adrenalectomy"],"prefix":"10.1111","volume":"10","author":[{"given":"Takeo","family":"Nomura","sequence":"first","affiliation":[{"name":"Department of Urology Oita University Faculty of Medicine  Yufu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Takei","sequence":"additional","affiliation":[{"name":"Department of Urology Oita University Faculty of Medicine  Yufu 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