Between March and June 1994 three adrenalectomies were performed via a
n endoscopic extraperitoneal approach. After creating a carbon dioxide
retro-pneumoperitoneum three 10 mm trocars were introduced in the are
a of conventional lumbar incision. Via these ports adrenalectomy was p
erformed. Time of operation amount to 215, 290 and 330 min. No postope
rative complications were observed. Time of postoperative hospitalisat
ion amount to 3, 4 and 7 days. The advantage of the extraperitoneal ap
proach is that it decreases postoperative pain and allows more rapid r
ecovery.