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Retroperitoneal Laparoscopic Surgery in the Treatment of Complex Adrenal Tumors

Authors Huang K, Wang Y, Gu X, Xiao Q, Tu X

Received 8 April 2020

Accepted for publication 26 June 2020

Published 14 July 2020 Volume 2020:12 Pages 5787—5791

DOI https://doi.org/10.2147/CMAR.S257310

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Harikrishna Nakshatri


Kai Huang,1 Yehua Wang,1 Xiao Gu,1 Qin Xiao,2 Xiangan Tu3

1Department of Urology, College of Clinical Medicine, Yangzhou University, Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu Province, People’s Republic of China; 2Department of Pathology, College of Clinical Medicine, Yangzhou University, Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu Province, People’s Republic of China; 3Department of Urology and Andrology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, People’s Republic of China

Correspondence: Kai Huang
Department of Urology, College of Clinical Medicine, Yangzhou University, Northern Jiangsu People’s Hospital, No. 98 West Nantong Road, Yangzhou, Jiangsu Province 225001, People’s Republic of China
Email huangkai_2015@163.com
Xiangan Tu
Department of Urology and Andrology, The First Affiliated Hospital of Sun Yat-Sen University, No. 58, Zhongshan 2nd Road, Guangzhou, Guangdong Province 510080, People’s Republic of China
Email txabs9988@163.com

Purpose: To explore the laparoscopic technique with the retroperitoneal approach for complex adrenal tumors.
Patients and Methods: The clinical data of 11 patients with complex adrenal tumors from July 2017 to July 2018 were analyzed retrospectively. Among them, there were 4 males and 7 females, 4 with adrenal myelolipomas, 3 with adrenal pheochromocytomas, 2 with adrenal cysts, 1 with adrenocortical adenoma and 1 with adrenal ganglioneuroma. The average tumor diameter was 6.5 ± 1.2 cm, and the average age of the patients was 48 ± 13 years.
Results: All the operations were successfully completed. The average operation time was 95 ± 15 min, the average amount of blood loss was 50 ± 15 mL, and the average postoperative hospital stay was 2.6 ± 1.3 days. No tumor recurrence was found after 1 year of follow-up.
Conclusion: Retroperitoneal laparoscopic surgery is effective for the treatment of complex adrenal tumors, but it requires good surgical skills. Surgeons skilled in laparoscopic technology can safely carry out retroperitoneal laparoscopic surgery for complex adrenal tumors.

Keywords: laparoscopy, retroperitoneal approach, complex adrenal tumor, surgery

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