Single-port anatomical retroperitoneal laparoscopic adrenalectomy for the trentment of adrenal cysts

doi:10.3877/cma.j.issn.1674-3253.2018.06.013

Abstract

Abstract:

Objective

To evaluate the clinical efficacy of single-port anatomical retroperitoneal laparoscopic adrenalectomy for the trentment of adrenal cysts.

Methods

From July 2010 to May 2015, retroperitoneal adrenalectomies had been completed successfully in 12 patients with a homemade single port. The mean age was (47±8) years. Five cases on right side, and 7 cases on left side. The average diameter of cyst was (5.0±0.7) cm.

Results

Operations were performed using conventional laparoscopic equipment with a homemade single port. Laparoscopic excision of cysts was performed in 4 cases and laparoscopic adrenalectomy in the remaining 8 cases. There were no perioperative or postoperative complications. The operative time ranged from 46 to 90 min, average time was (64±14) min. The mean blood loss was (30±8) ml. The mean visual analogue scale (VAS) was (1.6±0.8) in the first post-operative day. Duration of hospitalization ranged from 2 to 5 days. No surgical complications occurred. The duration of follow-up ranged from 7 to 15 months without recurrence.

Conclusions

Single-port anatomical retroperitoneal laparoscopic adrenalectomy for adrenal cyst is safe and effective, with less trauma and shorter duration of hospitalization.

Key words: Single-Port, Laparoscopy, Adrenalectomy, Adrenal cyst

Kaihua Zhong, Siping Liu, Shiwu Yao, Yifeng Lin, Huiming Jiang, Liguo Lin, Weifeng Zhong. Single-port anatomical retroperitoneal laparoscopic adrenalectomy for the trentment of adrenal cysts[J]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(06): 415-417.

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References 16

[1]	程文,傅点,邢潇潇，等. 后腹腔镜下优先阻断肾上腺中央静脉并机械切除肾上腺肿瘤术式的临床价值[J/CD]. 中华腔镜泌尿外科杂志(电子版)，2015，9(4): 43-46.
[2]	张海滨,刘建华. 经腹腔和后腹膜腔途径腹腔镜手术治疗肾上腺肿瘤的对比研究[J/CD]. 中华腔镜泌尿外科杂志(电子版)，2012，6(3): 182-185.
[3]	刘存兵,姜有涛,艾克拜尔·吾曼尔，等. 后腹腔镜与开放手术切除巨大肾上腺肿瘤的效果分析[J/CD]. 中华腔镜泌尿外科杂志(电子版)，2017，ll(1): 13-16.
[4]	Pradeep PV,Mishra AK,Aggarwal V, et al. Adrenal cysts: an institutional experience[J]. World J Surg, 2006, 30(30): 1817-1820.
[5]	Liu C,Pan B,Zheng S, et al. Laparoendoscopic single-site surgery for symptomatic renal cyst decortication using a homemade glove port device: initial experience[J]. Urol Int, 2012, 89(2): 180-184.
[6]	姜明东,李刚,王准，等. 经脐单孔腹腔镜与标准三孔后腹腔镜肾上腺切除术的疗效比较[J/CD]. 中华腔镜泌尿外科杂志(电子版)，2014，8(1): 27-30.
[7]	张旭,马鑫,李宏召，等. 单孔后腹腔镜解剖性肾上腺切除术5例报告[J]. 临床泌尿外科杂志，2009，24(9): 647-650.
[8]	Lyu X,Liu L,Yang L, et al. Surgical management of adrenal cysts:a single-institution experience[J]. Int Braz J Urol, 2014, 40(5): 656-665.
[9]	Nerli R B,Guntaka A,Devaraju S, et al. Adrenal cysts: Our laparoscopic experience.[J]. J Minim Access Surg, 2012, 8(4):145-148.
[10]	张旭,叶章群,宋晓东，等. 腹腔镜和后腹腔镜肾上腺手术与开放肾上腺手术的疗效比较（附93例报告）[J].中华泌尿外科杂志，2002，23(6): 332-334.
[11]	Castillo O A,Litvak J P,Marcelo K, et al. Laparoscopic management of symptomatic and large adrenal cysts [J]. J Urol, 2005, 173(3): 915-917.
[12]	郑涛,张旭,马鑫，等. 后腹腔镜手术治疗肾上腺囊肿15例报告[J]. 中国微创外科杂志，2005，5(6): 431-432.
[13]	Park SY,Rha KH,Autorino R, et al. Laparoendoscopic single-site nephroureterectomy for upper urinary tract urothelial carcinoma: outcomes of an international multi-institutional study of 101 patients[J]. BJU Int, 2013, 112(5): 610-5.
[14]	胡成,司徒杰,黄文涛，等. 单孔腹腔镜在腹膜后手术中的初步应用[J/CD]. 中华腔镜泌尿外科杂志(电子版)，2011，5(1): 13-15.
[15]	张尧,叶锦,吴刚，等. 单孔后腹腔镜肾上腺切除术:附8例报告[J/CD]. 中华腔镜泌尿外科杂志(电子版)，2012，6(6): 26-28.
[16]	张华,徐洪,刘青峰，等. 后腹腔镜技术治疗肾上腺肿物22例报告[J/CD]. 中华腔镜泌尿外科杂志(电子版)，2010，4(3): 31-33.

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