Mihai Ionela, Boicean Adrian, Dura Horatiu, Teodoru Cosmin Adrian, Bratu Dan Georgian, Ichim Cristian, Todor Samuel Bogdan, Bacalbasa Nicolae, Bereanu Alina Simona, Hașegan Adrian
Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Surgery Department, University of Medicine and Pharmacy "Carol Davila" Bucharest, 020021 Bucharest, Romania.
Diagnostics (Basel). 2025 Apr 1;15(7):898. doi: 10.3390/diagnostics15070898.
: This study aimed to evaluate the advantages of integrating intraoperative ultrasound (IOUS) into laparoscopic adrenal surgery by assessing its impact on perioperative outcomes and identifying potential complications. : This retrospective study analyzed 128 patients with adrenal gland tumors who underwent a laparoscopic adrenalectomy by comparing those who received intraoperative ultrasound guidance with those who did not. The procedures were performed using either the transperitoneal or the lateral retroperitoneal approach. : The IOUS-guided group had significantly lower blood loss ( < 0.001) and a shorter hospitalization duration ( = 0.005) compared with the non-IOUS group. No intraoperative complications were observed in the IOUS group, whereas three complications occurred in the non-IOUS group, including peritoneal breaches and minor liver damage. The retroperitoneal approach demonstrated superior perioperative outcomes, with a shorter operative time ( < 0.001), reduced blood loss ( < 0.001), earlier resumption of oral intake and lower postoperative analgesia requirements ( < 0.001). : Intraoperative ultrasound enhanced the surgical precision in laparoscopic adrenalectomy, which reduced the blood loss, shortened the hospital stays and minimized the intraoperative complications.
本研究旨在通过评估术中超声（IOUS）对围手术期结局的影响并识别潜在并发症，来评价将其整合到腹腔镜肾上腺手术中的优势。本回顾性研究分析了128例接受腹腔镜肾上腺切除术的肾上腺肿瘤患者，比较了接受术中超声引导的患者和未接受术中超声引导的患者。手术采用经腹或侧腹膜后入路进行。与非IOUS组相比，IOUS引导组的失血量显著更低（<0.001），住院时间更短（=0.005）。IOUS组未观察到术中并发症，而非IOUS组发生了3例并发症，包括腹膜破裂和轻度肝损伤。腹膜后入路显示出更好的围手术期结局，手术时间更短（<0.001），失血量减少（<0.001），口服摄入恢复更早，术后镇痛需求更低（<0.001）。术中超声提高了腹腔镜肾上腺切除术的手术精度，减少了失血量，缩短了住院时间，并将术中并发症降至最低。
