Tai Chi Kin, Li Shu Keung, Hou See Ming, Fan Chi Wai, Fung Tat Chau, Wah Michael Ka
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR, China.
Surg Laparosc Endosc Percutan Tech. 2006 Jun;16(3):141-5. doi: 10.1097/00129689-200606000-00004.
Laparoscopic adrenalectomy has become the method of choice of removal of most of adrenal lesions. This study investigated and compared the results of 2 different approaches of laparoscopic adrenalectomy, through retrospective review of 40 patients. Within this study period between 1995 and 2004, there were 20 lateral retroperitoneal and 20 lateral transperitoneal laparoscopic adrenalectomies performed. There was no significant difference in demographic variables between the 2 groups. Operative time, days to diet and ambulation, hospital stay, rate of conversion and complication did not differ significantly between the 2 approaches. No recurrence was detected upon mean follow-up period of 15.9 months. Learning curves showed gradual decrease in operation time in both approaches, reflecting maturation of techniques. In conclusion, both lateral transperitoneal and lateral retroperitoneal laparoscopic adrenalectomy are safe and effective. There is no difference in outcome between 2 approaches.
腹腔镜肾上腺切除术已成为大多数肾上腺病变切除的首选方法。本研究通过回顾性分析40例患者，对两种不同的腹腔镜肾上腺切除术方法的结果进行了调查和比较。在1995年至2004年的研究期间，共进行了20例侧腹膜后腹腔镜肾上腺切除术和20例侧经腹腹腔镜肾上腺切除术。两组患者的人口统计学变量无显著差异。两种手术方法在手术时间、恢复饮食和下床活动时间、住院时间、中转率及并发症方面均无显著差异。平均随访15.9个月未发现复发。学习曲线显示两种手术方法的手术时间均逐渐缩短，反映了技术的成熟。总之，侧经腹和侧腹膜后腹腔镜肾上腺切除术均安全有效。两种手术方法的结果无差异。
