Robot-assisted transperitoneal and retroperitoneal adrenalectomy for huge adrenal tumors in 45 cases
10.3969/j.issn.1009-8291.2023.01.011
- VernacularTitle:经腹腔和经腹膜后入路机器人辅助腹腔镜治疗巨大体积肾上腺肿瘤45例分析
- Author:
Yili HAN
1
;
Jiahui ZHAO
1
;
Yong LUO
1
;
Mingchuan LI
1
;
Dechao WEI
1
;
Yongguang JIANG
1
Author Information
1. Department of Urology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
- Publication Type:Journal Article
- Keywords:
huge adrenal tumors;
robot-assisted laparoscopic surgery;
adrenalectomy;
transperitoneal approach;
retroperitoneal approach;
early postoperative feeding
- From:
Journal of Modern Urology
2023;28(1):46-49
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To compare the outcomes of robot-assisted laparoscopic transperitoneal and retroperitoneal operation for huge (>6 cm) adrenal tumors. 【Methods】 The clinical data of 45 patients with huge adrenal tumors who underwent robotic surgery during Jan.2017 and Dec.2021 were retrospectively analyzed, including 28 cases via the transperitoneal approach and 17 cases via the retroperitoneal approach. 【Results】 No patients were converted to open operations. There were no significant differences in postoperative drainage time (2.24±0.44 vs. 2.36±0.49) d, operation time (130.88±5.96 vs. 136.61±8.39) min, blood loss (189.41±13.91 vs. 192.5±12.36) mL and postoperative hospital stay (7.06±0.56 vs. 7.46±0.69) d between the retroperitoneal and transperitoneal approaches. Retroperitoneal approach was better than transperitoneal approach in early postoperative feeding [(38.82±6.75 vs. 74.14±6.57) h, P<0.01] . 【Conclusion】 Robotic surgery is safe and effective in the treatment of large adrenal tumors. The choice of surgical approach should be based on patients’ condition, tumor volume and location.
