Comparison of open and retroperitoneal laparoscopic adrenalectomy in the treatment of benign adrenal tumors

FU Yajun; WANG Qingfu

doi:10.3969/j.issn.1009-0460.2017.03.014

Abstract：Objective To investigate the influence of two kinds of surgical scheme including open surgery and retroperitoneal laparoscopy surgery on perioperative clinical index,ICU transfer rate and complications of patients with benign adrenal tumor.Methods 120 patients with benign adrenal tumors were chosen and randomly divided into both group including control group(60 patients) with open surgery and observation group(60 patients) with retroperitoneal laparoscopy surgery;and the operation time,intraoperative blood loss amount,anal exhaust time,postoperative drainage volume,extubation time,hospitalization time,the ICU transfer rate and the complications incidence of both groups were compared.Results The operation time,anal exhaust time,extubation time and hospitalization time of observation group were significantly shorter than those of control group(P<0.05).The intraoperative blood loss amount and postoperative drainage volume of observation group were significantly lower than those of control group(P<0.05).There was no significant difference in the ICU transfer rate between two groups(P>0.05).The complications incidence in operation and after operation of observation group were significantly lower than those of control group(P<0.05).Conclusion Compared with open surgery,retroperitoneal laparoscopy surgery in the treatment of patients with benign adrenal tumors can efficiently reduce the iatrogenic injury degree,promote postoperative rehabilitation at early stage and be helpful to avoid thecomplications in operation and after operation.