关键词: 经腹腹腔镜, 肾上腺切除术, 应用解剖

Abstract:

Objective　To introduce the surgical skill and clinical experience of transperitoneal laparoscopic anatomic retro-adrenalectomy.　Methods　From January 2009 to January 2013, 47 patients underwent transperitoneal laparoscopic anatomic retro-adrenalectomy. Also, 36 patients underwent posterior laparosciopic adrenalectomy. Clinical data and surgical outcomes were compared retrospectively.　Results　Patients in the transperitoneal laparoscopic anatomic retro-adrenalectomy group were all successful in surgery. There was significant difference in mean operative time（45.6±23.4 min vs.115.5±18.2 min）and intraoperative blood loss（25.3±10.6 ml vs.110.6±30.3 ml）（P＜0.001）. No postoperative complications occurred in the transperitoneal laparoscopic anatomic retro-adrenalectomy group（0 vs.13.8%）.　Conclusions　The key advantage to this technique is its minimally invasive approach, shortened surgical time and reduced blood loss. We believe this approach to be a viable and safe option in the removal of benign adrenal lesions. 

Key words: Transperitoneal laparoscopy, Adrenalectomy, Applied anatomy