Abstract：Retroperitoneal laparoscopic adrenalectomy（RLA）has become a common surgical method for the treatment of adrenal occupying lesions. Many studies have shown that the difficulty of RLA is related to a series of factors. High body mass index（BMI）and large adrenal tumors will increase operative time and enlarge the volume of bleeding during the operation; adrenal pheochromocytoma or malignant tumors will increase the rate of convertion to open surgery; periadrenal fat with severe adhesions and previous surgical history will increase the occurrence of complications; surgeon's technical level also has a certain impact on the surgical process. This paper reviews the factors influencing the difficulty of retroperitoneal laparoscopic adrenalectomy.
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