Clinical experience of the application of slice anatomy and programmed surgical procedures in retroperitoneal laparoscopic adrenalectomy (report of 57 cases)
ZHANG Wei1, SHI Chunmei1, ZHU Hua1, GU Donghua1, PAN Xiaodong1, CHEN Xinfeng1, ZHEN Bin1
1Department of Urology, the Second Affiliated Hospital of Nantong University, Nantong 226000, China
Abstract：Objective： To explore the efficiency and safety of the application of slice anatomy and programmed procedures in posterior laparoscopic adrenal surgery. Methods： A total of 57 patients with adrenal tumors admitted to our hospital from September 2016 to May 2018 were selected and divided into a control group （37 cases undergoing conventional retroperitoneal laparoscopic adrenal tumor resection） and an observation group （20 cases receiving postoperative laparoscopic adrenal tumor resection using slice anatomy and programmed surgical procedures）. The operation time, intraoperative blood loss, drainage tube removal time, hospital stay, and complication rate were recorded and statistically analyzed. Results： All patients had successful resection of adrenal tumors, and there was no conversion to open surgery. The operation time in the observation group was significantly shorter than that in the control group （P < 0.05）. Two cases of peritoneal injury occurred in the control group, and there was no postoperative complications in the observation group. In terms of intraoperative blood loss, postoperative gastrointestinal function recovery time, drainage tube removal time, and hospital stay, there was no significant difference between the two groups （P > 0.05）. Conclusion： The posterior laparoscopic adrenal tumor resection with the application of slice anatomy and programmed surgical procedures has the advantages of fully surgical field exposure, short operation time, and low postoperative complication rate.
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