Comparative investigation of transabdominal and retroperitoneal laparoscopic adrenalectomy

Keywords: transabdominal access; retroperitoneal access; laparoscopic adrenalectomy

Abstract

Objective. To compare the results and efficacy of retroperitoneal and transabdominal laparoscopic adrenalectomy with determination of indications to its application.

Маterials and methods. The investigation was performed on the base of Odessa Regional Clinical Hospital. There were examined 78 patients, in whom transabdominal (n=44) or retroperitoneal (n=34) laparoscopic adrenalectomy were conducted.

Results. There was shown, that posterior retroperitoneal access owes significant advantages over transabdominal access while performance of laparoscopic adrenalectomy the essential shortening of the operation duration and the traumaticity lowering, the blood loss and the pain syndrome reduction, оbtaining of good cosmetic result, the patients’ stationary stay shortening.

Conclusion. Posterior retroperitoneal access constitutes the method of choice for the patients, previously operated on abdominal organs.

Author Biographies

V. V. Grubnik, Оdessa National Medical University

Grubnіk Volodymyr Volodymyrovich, MD, DSci (Med),
Head of the Department of Surgery № 1
Odessa National Medical University,
Department of Surgery,
Odessa Regional Clinical Hospital,
st. Zabolotny, 26/32, Odessa, 65025,
Tel .: 0487500116,
algrub@i.ua,
ORCID: https://orcid.org/0000-0003-4389-908X

R. S. Parfentiev, Оdessa National Medical University

Parfentiev Roman Sergeevich, MD, PhD, Associate Professor
Department of Surgery № 1
Odessa National Medical University,
Department of Surgery,
Odessa Regional Clinical Hospital,
st. Zabolotny, 26/32, Odessa, 65025,
Tel .: 0487500116,
rommul23@gmail.com,
ORCID: https://orcid.org/0000-0002-4058-7534

V. V. Ilyashenko, Оdessa National Medical University

Ilyashenko V., MD, PhD, Assistant
Department of Surgery № 1
Odessa National Medical University
Odessa Regional Clinical Hospital,
st. Zabolotny, 26/32, Odessa, 65025,
Tel .: 0487500116,
vadim.ilyashenko@yahoo.com,
ORCID: https://orcid.org/0000-0002-6456-4855

O. S. Burlak, Оdessa National Medical University

Burlak Alexander Sergeevich, Assistant
Department of Surgery № 1
Odessa National Medical University,
Odessa Regional Clinical Hospital,
st. Zabolotny, 26/32, Odessa, 65025,
Tel .: 0487500116,
burlak.aleksandr@gmail.com,
ORCID: https://orcid.org/0000-0001-7284-3216

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Published
2019-04-28
How to Cite
Grubnik, V. V., Parfentiev, R. S., Ilyashenko, V. V., & Burlak, O. S. (2019). Comparative investigation of transabdominal and retroperitoneal laparoscopic adrenalectomy. Klinicheskaia Khirurgiia, 86(4), 21-24. https://doi.org/10.26779/2522-1396.2019.04.21
Section
General Problems of Surgery