Retroperitoneoscopic treatment for adrenal tumors: A clinical analysis of 35 cases / 中国微创外科杂志

ABSTRACT

Objective To summarize the clinical experience of retroperitoneoscopic surgery in the treatment of adrenal tumors. Methods Retroperitoneoscopic resection of adrenal tumors was performed in 35 patients(12 males and 23 females) aged 25~72 years(mean,49.8 years).The tumor was left-sided in 15 patient and right-sided in 20 patients.There were 5 cases of pheochromocytoma,10 cases of primary hyperaldosteronism,2 cases of Cushing's disease,2 cases of paraganglioma,and 16 cases of dysfunctional adenoma.The operation was performed through 3 lumbar ports.A self-made water-filled balloon dilator was employed to expand the retroperitoneal cavity,and then the tumor was removed by using a harmonic scalpel.Results The procedure was successfully completed in all the 35 patients,with no need of conversions to open surgery.The intraoperative blood loss was 10~500 ml(mean,74 ml).No blood transfusion was required.The operation time was 45~200 min(mean,90 min).Conclusions Retroperitoneoscopic adrenalectomy has advantages of satisfactory effects,short operation time,little blood loss and invasion,and quick recovery.It can replace most of traditional open operations for adrenal tumors.