Application of posterior retroperitoneoscopic adrenalectomy in the minimally invasive treatment of adrenal tumors
10.3760/cma.j.issn.1000-6702.2016.04.003
- VernacularTitle:后入路后腹腔镜在肾上腺肿瘤微创治疗中的应用
- Author:
Peng XU
;
Yuantao WANG
;
Ping XIAO
;
Wei AN
- Publication Type:Journal Article
- Keywords:
Adrenal gland neoplasms;
Retroperitoneoscopic;
Minimally invasive;
Posterior approach
- From:
Chinese Journal of Urology
2016;37(4):247-250
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and efficacy of posterior retroperitoneoscopic adrenalectomy (PRA).Methods To review the clinical data of 35 patients who underwent posterior retroperitoneoscopic adrenalectomy from September 2013 to September 2015.There were 14 males and 21 females, aged 15-70 years, with an average of 45.8 years.Preoperative CT scan was performed to determine the size, shape and location of the tumor.Tumor diameter 10-60 mm, average 31 mm.Results 35 operations were successfully accomplished via the posterior approach.The operation time was 38-138 min (mean 70.1 min) ,and the drainage tube indwelling time was 1-5 d(average 2.1 d) ,the hospital stay was 2-6d(average 3.7 d).Total hospital costs were 14 789-31 992 yuan, average of 21 239 yuan.No complications occurred during the perioperative period.Conclusions Posterior retroperitoneoscopic adrenalectomy might provide clear anatomical views.It could be a safe and effective operation for the clinical treatment of adrenal tumors.