Transperitoneal laparoscopic anatomic retro-adrenalectomy
FU Quan-Qing, SU Ze-Han, ZHUO Yo-Min-
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (1) : 93-97.
Transperitoneal laparoscopic anatomic retro-adrenalectomy
Objective To introduce the surgical skill and clinical experience of transperitoneal laparoscopic anatomic retro-adrenalectomy. Methods From January 2009 to January 2013, 47 patients underwent transperitoneal laparoscopic anatomic retro-adrenalectomy. Also, 36 patients underwent posterior laparosciopic adrenalectomy. Clinical data and surgical outcomes were compared retrospectively. Results Patients in the transperitoneal laparoscopic anatomic retro-adrenalectomy group were all successful in surgery. There was significant difference in mean operative time（45.6±23.4 min vs.115.5±18.2 min）and intraoperative blood loss（25.3±10.6 ml vs.110.6±30.3 ml）（P＜0.001）. No postoperative complications occurred in the transperitoneal laparoscopic anatomic retro-adrenalectomy group（0 vs.13.8%）. Conclusions The key advantage to this technique is its minimally invasive approach, shortened surgical time and reduced blood loss. We believe this approach to be a viable and safe option in the removal of benign adrenal lesions.
Transperitoneal laparoscopy / Adrenalectomy / Applied anatomy
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