Journal of Modern Urology 2023;28(1):46-49

doi:10.3969/j.issn.1009-8291.2023.01.011

Robot-assisted transperitoneal and retroperitoneal adrenalectomy for huge adrenal tumors in 45 cases

Yili HAN 1 ; Jiahui ZHAO 1 ; Yong LUO 1 ; Mingchuan LI 1 ; Dechao WEI 1 ; Yongguang JIANG 1

Affiliations

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Keywords

huge adrenal tumors; robot-assisted laparoscopic surgery; adrenalectomy; transperitoneal approach; retroperitoneal approach; early postoperative feeding

Country

China

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.