Retroperitoneal Laparoscopic Surgery for Giant Adrenal Myelolipoma
10.3969/j.issn.1009-6604.2017.11.015
- VernacularTitle:巨大肾上腺髓样脂肪瘤后腹腔镜手术特点
- Author:
Shenghong WAN
1
;
Jianzhong RUAN
;
Bingbing SHI
Author Information
1. 湖北省孝感市第一人民医院泌尿外科
- Keywords:
Giant;
Adrenal myelolipoma;
Retroperitoneal laparoscopic surgery;
Anatomical landmarks
- From:
Chinese Journal of Minimally Invasive Surgery
2017;17(11):1014-1016
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical features of retroperitoneoscopic excision of adrenal myelolipoma with diameter larger than 6 cm. Methods We retrospectively analyzed clinical data of 28 cases of giant adrenal myelolipoma from March 2010 to December 2015.The diameter of tumor was 6.0-13.7 cm (mean, 8.5 cm).There were 10 left-sided cases and 18 right-sided cases. During the retroperitoneoscopic excision of adrenal myelolipoma , four trocars were used .Two silk sutures were twisted as a loop to entangle one side of the tumor and then pulled it .Blood vessel on the surface of tumor was sealed and cut by ultrasonic scalpel . Adrenal gland was totally or partially removed and the tumor was resected completely . Results The operations were successful in all the 28 cases without hemorrhage during or after the surgery , conversion to open surgery , or injury of adjacent organs .The operation time was 52-117 min (mean, 67.5 min) and the blood loss was 45-110 ml during operation (mean, 60.5 ml).Patients took food 1-2 days after operation and ambulated 3-5 days after operation .The indwelling time of retroperitoneal drainage tube was 3-6 d (mean, 4.1 d).The postoperative hospitalization time was 6 -9 d (mean, 7.5 d). Conclusions Giant myelolipoma leads to seriously changed normal anatomy and is hard to be exposed during operation .Only when the important anatomical landmarks , large blood vessels and adrenal glands are focused , can the operation be safe and controllable .
