Robot assisted laparoscopic surgery for small adrenal adenomas with different access

doi:10.3877/cma.j.issn.1674-6899.2021.06.008

Abstract

Abstract:

Objectives

To compare robot assisted laparoscopic transperitoneal and retroperitoneal operation for small adrenal adenomas.

Methods

The clinical data were analyzed retrospectively in 28 patients with adrenal adenoma who underwent robotic surgery via retroperitoneal and transperitoneal approaches in Beijing Anzhen Hospital from Jan. 2017 to Dec. 2019.

Results

6 in 28 cases were operated with transperitoneal access and 22 cases with retroperitoneal access. All patients were not converted to opening operations and proved to be adrenal cortical adenoma by pathology. There was no significant difference in postoperative drainage time between retroperitoneal and transperitoneal approaches (2.1±0.5)d vs (2.3±0.8)d. Retroperitoneal approach was better than transperitoneal approach in operation time (72±19)min vs (109±25)min, blood loss (47±15)ml vs (84±26)ml, early postoperative feeding (1.2±0.8)d vs (2.4±1.3)d and postoperative hospital stay (4.5±1.6)d vs (7.5±1.9)d, statistic differences were significant (P<0.05).

Conclusions

Robot-assisted retroperitoneal adrenalectomy may be superior to transperitoneal approach for small adrenal adenomas.

Key words: Adrenal adenoma, Robot-assisted laparoscopic adrenalectomy, Transperitoneal, Retroperitoneal

Yili Han, Jiahui Zhao, Yong Luo, Mingchuan Li, Dechao Wei, Yongguang Jiang. Robot assisted laparoscopic surgery for small adrenal adenomas with different access[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(06): 359-362.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.06.008

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I06/359

Figures/Tables 2

References 15

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分组	例数	手术时间(min)	术中出血量(ml)	术后住院时间(d)	术后首次进食时间(d)	术后引流时间(d)
RARA组	22	72±19	47±15	4.5±1.6	1.2±0.8	2.1±0.5
RATA组	6	109±25	84±26	7.5±1.9	2.4±1.3	2.3±0.8
t值		4.572	7.449	6.985	3.623	1.781
P值		<0.01	<0.01	<0.01	<0.01	0.20

分组	例数	手术时间(min)	术中出血量(ml)	术后住院时间(d)	术后首次进食时间(d)	术后引流时间(d)
RARA组	22	72±19	47±15	4.5±1.6	1.2±0.8	2.1±0.5
RATA组	6	109±25	84±26	7.5±1.9	2.4±1.3	2.3±0.8
t值		4.572	7.449	6.985	3.623	1.781
P值		<0.01	<0.01	<0.01	<0.01	0.20

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