Abstract
Conventional adrenalectomy requires relatively large incisions. To assess the value of retroperitoneal endoscopic adrenalectomy, a case–control study was performed comparing the endoscopic technique to conventional posterior adrenalectomy. All patients had adrenal tumors less than 7 cm in diameter. Endoscopic retroperitoneal adrenalectomy required more operative time (90 vs. 60 minutes, p < 0.0001) than the open approach but was associated with less blood loss (20 vs. 125 ml, p < 0.0001). Endoscopic adrenalectomy caused less pain postoperatively ( p = 0.0005) and was associated with fewer complications ( p = 0.035). The hospital stay was shorter after endoscopic adrenalectomy than after open adrenalectomy ( p < 0.0001). In conclusion, we advocate endoscopic retroperitoneal adrenalectomy in patients with small adrenal tumors.
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Bonjer, H., van der Harst, E., Steyerberg, E. et al. Retroperitoneal Adrenalectomy: Open or Endoscopic?. World J. Surg. 22, 1246–1249 (1998). https://doi.org/10.1007/s002689900553
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DOI: https://doi.org/10.1007/s002689900553