Experience of Retroperitoneoscopy for Adrenal Masses in Infants Under 6 Months Old
10.3969/j.issn.1009-6604.2024.05.012
- VernacularTitle:6月龄以下婴儿肾上腺区肿物后腹腔镜手术体会
- Author:
Huashan ZHAO
1
;
Yunpeng ZHAI
;
Rui GUO
;
Hongxiu XU
;
Sai HUANG
;
Longfei LV
;
Shisong ZHANG
Author Information
1. 山东大学附属儿童医院 济南市儿童医院胸外肿瘤外科,济南 250022
- Keywords:
Retroperitoneoscopy;
Infant;
Adrenal area
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(5):379-383
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of retroperitoneoscopy in the treatment of adrenal masses in infants under 6 months old.Methods From January 2020 to November 2023,retroperitoneoscopic surgery was performed in 5 infants under 6 months old with adrenal tumors.Their age was from 1 month and 18 days to 4 months and 27 days,and their body weight was 5-8 kg.The lesion was found by prenatal ultrasonography in 1 case and by abdominal ultrasonography for other reasons after birth in 4 cases.Ultrasound and CT indicated a diameter of 1.7-5.5 cm for the adrenal masses.Results The operations of adrenalectomy and tumor resection were completed under retroperitoneoscopy.The operative time was 65-135 min(median,94 min).The intraoperative blood loss was less than 10 ml.The postoperative drainage tube retention time was 3-6 d(median,5 d).Pathological diagnosis showed 4 cases of adrenal neuroblastoma and 1 case of adrenal hyperplasia.Follow-ups for 1-36 months(median,3 months)with abdominal ultrasound and CT scanning showed no recurrence or metastasis.Conclusion Retroperitoneoscopy is relatively safe for the treatment of adrenal tumors in infants under 6 months old(tumors with acceptable boundaries).
