Objective:To summarize experiences in 136 cases of retroperitoneal laparoscopic surgery.Methods: From April 1997 to May 2002, retroperitoneal laparoscopic surgery were performed for 136 cases of adrenal diseases. Ther...Objective:To summarize experiences in 136 cases of retroperitoneal laparoscopic surgery.Methods: From April 1997 to May 2002, retroperitoneal laparoscopic surgery were performed for 136 cases of adrenal diseases. There were 63 aldosterone-producing adenoma, 22 adrenalcortical adenoma, 39 nonfunctional adrenal tumor, 7 adrenal cyst and 5 phenochromocytoma.Results:Except for one case converts to open surgery, success has been achieved in all cases without major complications. Intraoperative blood loss was 76±32ml without blood transfusion. Postoperative hospital stay was 6±3 days. There were statistical differences among these indices when comparing to those of open surgery for 126 cases with adrenal diseases( P <0.05).But operative time was little longer in laparoscopic group than in group of open surgery( P <0.05),whereas it has been changed to similar in those recent cases.Conclusion:Retroperitoneal laparoscopic surgery was less traumatic to the patients, with less postoperative discomfort and quicker recovery and should be considered the first choice of therapy for adrenal disorders.展开更多
文摘Objective:To summarize experiences in 136 cases of retroperitoneal laparoscopic surgery.Methods: From April 1997 to May 2002, retroperitoneal laparoscopic surgery were performed for 136 cases of adrenal diseases. There were 63 aldosterone-producing adenoma, 22 adrenalcortical adenoma, 39 nonfunctional adrenal tumor, 7 adrenal cyst and 5 phenochromocytoma.Results:Except for one case converts to open surgery, success has been achieved in all cases without major complications. Intraoperative blood loss was 76±32ml without blood transfusion. Postoperative hospital stay was 6±3 days. There were statistical differences among these indices when comparing to those of open surgery for 126 cases with adrenal diseases( P <0.05).But operative time was little longer in laparoscopic group than in group of open surgery( P <0.05),whereas it has been changed to similar in those recent cases.Conclusion:Retroperitoneal laparoscopic surgery was less traumatic to the patients, with less postoperative discomfort and quicker recovery and should be considered the first choice of therapy for adrenal disorders.
