J Korean Soc Endosc Laparosc Surg.  2010 Jun;13(1):22-25.

Comparison of Laparoscopic Transperitoneal Versus Retroperitoneal Adrenalectomy

Affiliations
  • 1Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea. ybchoi@amc.seoul.kr

Abstract

PURPOSE
This study was designed to evaluate outcomes of transperitoneal and retroperitoneal approaches in laparoscopic adrenalectomy for resectable adrenal mass.
METHODS
Laparoscopic adrenalectomy was performed on 134 patients with resectable adrenal mass between February 2004 and February 2009. We retrospectively reviewed the results of transperitoneal approach (TPA) and that of retroperitoneal approach (RPA) in terms of clinicopathologics and surgical outcomes.
RESULTS
80 patients (39 men and 41 women) underwent TPA, of them, 68 were located in left and 12 were located in right. 54 patients (25 men and 29 women) underwent RPA. In RPA group, 9 were located in left and 45 were located in right. There were no difference in clinicopathologics (including age, gender and BMI), in postoperative complication and in mortality. Operative time was shorter, blood loss was smaller and less pain killers was administered in RPA group (p<0.05).
CONCLUSION
Our study shows that both approach (TPA and RPA) have a good peri-operative outcomes, but RPA is less painful and has a shorter operative time than TPA. It is needed to choose operative approach based on certain patient selection criteria for high patient and surgeon satisfaction.

Keyword

Adrenalectomy; Transperitoneal; Retroperitoneal; Laparoscopy

MeSH Terms

Adrenalectomy
Humans
Laparoscopy
Male
Operative Time
Patient Selection
Postoperative Complications
Retrospective Studies
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