Comparison of clinical efficacy between anatomical and conventional retroperitoneal laparoscopic adrenalectomy

doi:10.3877/cma.j.issn.1674-3253.2018.03.005

Abstract

Abstract:

Objective

To compare the clinical efficacy and safety between anatomical and conventional retroperitoneal laparoscopic adrenalectomy.

Methods

From January 2010 to December 2016, 30 patients with adrenal diseases in our hospital were enrolled into two groups, including 14 cases of anatomical retroperitoneal laparoscopic adrenalectomy (observation group), and 16 cases conventional retroperitoneal laparoscopic adrenalectomy (control group). The intraoperative blood loss, operative time, the time of drainage tube retention, hospital stay, and the complications were compared.

Results

Compared with the control group, the operation time, the time of drainage tube retention and hospital stay were shorter in observation group (P<0.05). Furthermore, the intraoperative blood loss and intraoperative peritoneal injury rate in observation group were less than control group (P<0.05).

Conclusion

Anatomical retroperitoneal laparoscopic adrenalectomy, which was exposed and separated the adrenal gland through the correct natural anatomical space, had advantages of higher efficiency, less bleeding, clear operation field, fewer complications, and is worth popularizing in clinical practice.

Key words: Adrenalectomy, Laparoscopy, Anatomical

Zaichi Lai, Hangong Fan, Sihua Li, Yueyue Lin. Comparison of clinical efficacy between anatomical and conventional retroperitoneal laparoscopic adrenalectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(03): 164-167.

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URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2018.03.005

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Figures/Tables 2

References 14

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组别	例数	性别（例）		病灶位置（例）		年龄（岁，±s）	肿瘤类别（例）				BMI（kg/m²，±s）	肿瘤直径（cm，±s）
组别	例数	男	女	左	右	年龄（岁，±s）	原醛症	皮质醇增多症	嗜铬细胞瘤	无功能腺瘤	BMI（kg/m²，±s）	肿瘤直径（cm，±s）
观察组	14	09	5	6	8	46.7±13.3	5	4	4	1	22.7±2.4	3.5±2.4
对照组	16	10	6	7	9	47.2±12.9	5	4	4	3	23.1±2.2	3.3±2.3
统计值		-		-		t=0.100	-				t=0.480	t=0.230
P值		0.610		1.000		0.918	0.876				0.638	0.818

组别	例数	性别（例）		病灶位置（例）		年龄（岁，±s）	肿瘤类别（例）				BMI（kg/m²，±s）	肿瘤直径（cm，±s）
组别	例数	男	女	左	右	年龄（岁，±s）	原醛症	皮质醇增多症	嗜铬细胞瘤	无功能腺瘤	BMI（kg/m²，±s）	肿瘤直径（cm，±s）
观察组	14	09	5	6	8	46.7±13.3	5	4	4	1	22.7±2.4	3.5±2.4
对照组	16	10	6	7	9	47.2±12.9	5	4	4	3	23.1±2.2	3.3±2.3
统计值		-		-		t=0.100	-				t=0.480	t=0.230
P值		0.610		1.000		0.918	0.876				0.638	0.818

组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	拔引流管时间（h，±s）	住院时间（d，±s）	并发症
组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	拔引流管时间（h，±s）	住院时间（d，±s）	术中腹膜损伤	术后皮下气肿	术后切口感染
观察组	14	65.8±15.9	46.3±12.2	32.4±8.6	6.1±2.7	1	1	2
对照组	16	87.5±17.3	57.8±12.7	48.9±8.9	8.31±2.50	06	2	3
t值		3.560	2.520	5.150	2.330	-	-	-
P值		0.001	0.018	<0.001	0.027	0.049	1.000	1.000

组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	拔引流管时间（h，±s）	住院时间（d，±s）	并发症
组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	拔引流管时间（h，±s）	住院时间（d，±s）	术中腹膜损伤	术后皮下气肿	术后切口感染
观察组	14	65.8±15.9	46.3±12.2	32.4±8.6	6.1±2.7	1	1	2
对照组	16	87.5±17.3	57.8±12.7	48.9±8.9	8.31±2.50	06	2	3
t值		3.560	2.520	5.150	2.330	-	-	-
P值		0.001	0.018	<0.001	0.027	0.049	1.000	1.000

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