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Posterior retroperitoneoscopic partial adrenalectomy: clinical experience in 47 procedures
Isoji Sasagawa1, Yasuhiro Suzuki, Keiichi Itoh
1Department of Urology, Yamagata University School of Medicine, 2-2-2 Iidanishi, Yamagata-shi, Yamagata, 990-9585, Japan. isasaga@med.id.yamagata-u.ac.jp
European Urology
|April 2, 2003
Summary
Posterior retroperitoneoscopic partial adrenalectomy is a safe and minimally invasive option for adrenal tumors. Operative times decreased with experience, demonstrating improved technique and efficiency in this surgical approach.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Endourology
Background:
- Adrenal tumors require effective and safe surgical treatment.
- Minimally invasive techniques offer potential advantages over open surgery.
Purpose of the Study:
- To evaluate posterior retroperitoneoscopic partial adrenalectomy.
- Assess operative complications, operative time, and intraoperative blood loss.
Main Methods:
- 47 posterior retroperitoneoscopic partial adrenalectomies were performed between 1997 and 2002.
- Patient demographics included 18 males and 29 females (mean age 48 years).
- Average adrenal tumor size was 26 mm; all procedures used three trocars.
Main Results:
- No mortality was observed; conversion to open surgery was 2.1%.
- Average operative time was 198 minutes and average blood loss was 40.8 ml.
- Operative time decreased with increased experience, but tumor size and BMI did not correlate with operative time or blood loss.
Conclusions:
- Posterior retroperitoneoscopic partial adrenalectomy is a safe and less invasive treatment for adrenal tumors.
- Improved operative technique leads to decreased procedure time.