Seventy degrees lateral decubital trans-abdominal laparoscopic adrenal surgery.
- Author:
Zhen-li GAO
1
;
De-kang SUN
;
Tong-ben GUO
;
Dian-dong YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adrenal Gland Diseases; surgery; Adrenalectomy; methods; Female; Humans; Intraoperative Complications; prevention & control; Laparoscopy; methods; Male; Postoperative Complications; prevention & control; Posture; Treatment Outcome
- From: Chinese Journal of Surgery 2003;41(4):264-266
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo introduce a new procedure of laparoscopic adrenal surgery.
METHODSThirty patients with adrenal disease underwent surgery by a 70 degrees lateral decubital trans-abdominal laparoscopic approach, which wa compared with 30 degrees decubital laparoscopic operation in 26 patients.
RESULTSThe procedure is superior to open laparotomy. There was significant difference in average operative time (77.2 min vs. 215.7 min), blood lost volume (27.0 ml vs. 94.5 ml), and postoperative complications (13.3% vs. 46.0%). Postoperative feeding time and hospitalization time were shortened markedly.
CONCLUSIONSThis modified technique is safe, straightforward, with a good anatomic view during operation. It could be widely adopted for the treatment of benign adrenal disease, especially pheochromocytoma.
