Comparative investigation of transabdominal and retroperitoneal 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.
References
2. Gagner M, Lacroix A, Bolte E, Pomp A. Laparoscopic adrenalectomy. The importance of a flank approach in the lateral decubitus position. Surg Endosc. 1994; 8(2):135-8. PMID: 8165486.
3. Gagner M, Pomp A, Heniford BT, Pharand D, Lacroix A. Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg. 1997; 226(3):238-46. doi: 10.1097/00000658-199709000-00003.
4. Lezoche E, Guerrieri M, Crosta F, Paganini A, D’Ambrosio G, Lezoche G, et al. Perioperative results of 214 laparoscopic adrenalectomies by anterior transperitoneal approach. Surg Endosc. 2008;22(2):522-6 doi: 10.1007/s00464-007-9555-7.
5. Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, et al. Posterior retroperitoneoscopic adrenalectomy: results of 560 procedures in 520 patients. Surgery. 2006;140(6):943-8; doi: 10.1016/j.surg.2006.07.039.
6. Barczynski M, Konturek A, Golkowski F, Cichon S, Huszno B, Peitgen K, et al. Posterior retroperitoneoscopic adrenalectomy: a comparison between the initial experience in the invention phase and introductory phase of the new surgical technique. World J Surg. 2007;31(1):65-71; doi: 10.1007/s00268-006-0083-8.
7. Myles PS, Myles DB, Galagher W, Boyd D, Chew C, MacDonald N, et al. Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state. Br J Anaesth. 2017;118(3):424-9 doi: 10.1093/bja/aew466.
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