Retroperitoneoscopic adrenalectomy with dorsal approach

Česká verzia

Authors: P. Zonca ^1,2; M. Cambal ^1,2; P. Labaš ²; C. A. Jacobi ¹
Authors place of work: Zentrum für Viszeral und Minimal Invasive Chirurgie, Wesseling, Köln am Rhein, Německo, přednosta: Prof. Dr. med. C. A. Jacobi, Ph. D. ¹; 1. Chirurgická klinika, Bratislava, přednosta: Prof. MUDr. Peter Labaš, CSc. ²
Published in the journal: Rozhl. Chir., 2012, roč. 91, č. 4, s. 235-240.
Category: Original articles

Summary

Introdustion:
Various surgical mininvasive approaches for adrenalectomy have been established over the last two decades. We are evaluating the retroperitoneoscopic adrenalectomy with dorsal approach.

Material and methods:
The prospective open clinical trial was carried out to evaluate intra-operative (operations time, intraoperative complications, blood loss, conversion rate) and peri-operative parameters (morbidity, mortality, hospital stay). Patients who underwent retroperitoneoscopic adrenalectomy with dorsal approach were included in the trial. A tumor size above 12 cm or BMI higher than 35kg/m² were considered asexclusion criteria. All the patients were perioperatively managed by a multidisciplinary team.

Results:
A total of 81 patients were assessed (average age: 45.7 yrs, 37 males, 44 females, BMI 27.8 kg/m²). The average operating time was 61 minutes. The intraoperative blood loss was below 20 ml. The mean hospital stay was 2.1 days. Morbidity was 2.7% and mortality 0%.

Conclusion:
Retroperitoneoscopic adrenalectomy with dorsal approach is considered a method of choice in our hospital. The use of this approach is safe, efficient, with excellent reproducible operative results and impressive patient recovery.

Key words:
adrenalectomy – retroperitoneoscopic – dorsal

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