Preliminary experience of single-port gasless retroperitoneal laparoscopic adrenalectomy

doi:10.3877/cma.j.issn.1674-3253.2024.01.005

Abstract

Abstract:

Objective

To explore the safety and feasibility of single-port gasless retroperitoneal laparoscopic adrenalectomy (SGRLA) for adrenal tumors.

Methods

The clinical data of 65 patients undergoing single-port posterior laparoscopic adrenal tumor resection by the same operator from October 2020 to March 2022 in Sun Yet-Sen University Cancer Center were retrospectively collected and analyzed, including 23 cases of SGRLA and 42 cases of conventional single-port laparoscopy.

Results

All the surgical procedures were successfully completed without intermediate opening or conversion to multi-port operation. Baseline characteristcs were balanced between the two groups. There were no significant difference between the SGRLA group and the conventional single-port laparoscopy group in terms of operative time, intraoperative bleeding, postoperative hospital stay, postoperative pain medication duration, and drainage tube retention time (P>0.05); the mean cost of hospitalization was lower in the SGRLA than in the traditional group [(32 072 ±2 667) vs (34 972 ± 2 783 yuan), P<0.001].

Conclusion

Single-port gasless retroperitoneal laparoscopic adrenalectomy is safe and feasible, which can avoid the complications of pneumoperitoneum, reduce hospitalization costs of patients, and is a minimally invasive cosmetic and economic procedure.

Key words: Gasless, Single-port, laparoscopy, Adrenal tumor

Nan Ma, Zhenyu Yang, Xuman Lin, Zhenhua Liu, Xianda Chen, Shengjie Guo, Hui Han, Fangjian Zhou, Zhuowei Liu, Kai Yao. Preliminary experience of single-port gasless retroperitoneal laparoscopic adrenalectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(01): 25-30.

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URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2024.01.005

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组别	例数	年龄[岁，(±s)]	性别(例)		BMI[(kg/m²，(±s)]	肿瘤位置(例)		肿瘤最大径[cm，(±s)]	手术时间[min，(±s)]	术中出血量[ml，M(Q)]	术后住院时间[d，(±s)]
组别	例数	年龄[岁，(±s)]	男	女	BMI[(kg/m²，(±s)]	左	右	肿瘤最大径[cm，(±s)]	手术时间[min，(±s)]	术中出血量[ml，M(Q)]	术后住院时间[d，(±s)]
有气腹组	42	50±14	13	29	23±4	24	18	2.4±0.9	66±22	10(10，20)	2.7±0.7
免气腹组	23	48±14	10	13	23±3	14	9	2.8±1.0	67±19	10(10，30)	2.9±0.8
P值		0.611	0.313		0.994	0.771		0.090	0.949	0.454	0.426
组别	病理类型(例)				输血(例)	中转开放(例)	术后止痛药物使用时间[d，(±s)]	引流管留置时间[d，(±s)]	保留部分肾上腺(例)		住院费用[元，(±s)]
组别	无功能皮质腺瘤	嗜铬细胞瘤	转移瘤	其他	输血(例)	中转开放(例)	术后止痛药物使用时间[d，(±s)]	引流管留置时间[d，(±s)]	是	否	住院费用[元，(±s)]
有气腹组	26	6	6	4	0	0	1.8±0.6	2.3±0.9	30	12	34 972±2 783
免气腹组	12	5	3	3	0	0	2.1±0.7	2.4±0.6	13	10	32 072± 2 667
P值	0.822				-	-	0.090	0.691	0.225		<0.001

组别	例数	年龄[岁，(±s)]	性别(例)		BMI[(kg/m²，(±s)]	肿瘤位置(例)		肿瘤最大径[cm，(±s)]	手术时间[min，(±s)]	术中出血量[ml，M(Q)]	术后住院时间[d，(±s)]
组别	例数	年龄[岁，(±s)]	男	女	BMI[(kg/m²，(±s)]	左	右	肿瘤最大径[cm，(±s)]	手术时间[min，(±s)]	术中出血量[ml，M(Q)]	术后住院时间[d，(±s)]
有气腹组	42	50±14	13	29	23±4	24	18	2.4±0.9	66±22	10(10，20)	2.7±0.7
免气腹组	23	48±14	10	13	23±3	14	9	2.8±1.0	67±19	10(10，30)	2.9±0.8
P值		0.611	0.313		0.994	0.771		0.090	0.949	0.454	0.426
组别	病理类型(例)				输血(例)	中转开放(例)	术后止痛药物使用时间[d，(±s)]	引流管留置时间[d，(±s)]	保留部分肾上腺(例)		住院费用[元，(±s)]
组别	无功能皮质腺瘤	嗜铬细胞瘤	转移瘤	其他	输血(例)	中转开放(例)	术后止痛药物使用时间[d，(±s)]	引流管留置时间[d，(±s)]	是	否	住院费用[元，(±s)]
有气腹组	26	6	6	4	0	0	1.8±0.6	2.3±0.9	30	12	34 972±2 783
免气腹组	12	5	3	3	0	0	2.1±0.7	2.4±0.6	13	10	32 072± 2 667
P值	0.822				-	-	0.090	0.691	0.225		<0.001

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