Transabdominal and retropertinal adrenalectomy. Comparative studies

Authors

  • V. V. Sliepov Odesa National Medical University
  • V. V. Grubnik Odesa National Medical University
  • R. S. Parfentiev Odesa National Medical University
  • Vik. V. Grubnyk Odesa National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.3.13316

Keywords:

transperitoneal, retroperitoneoscopic, laparoscopy, adrenalectomy

Abstract

The aim of the work: to compare the results and the effectiveness of retroperitoneal adrenalectomy with transabdominal anteriogenic leukemia with transabdominal adrenalectomy, with the indication of symptoms before the use of various adrenalectomy types.

Materials and Methods. The research was conducted out on the basis of the Regional Clinical Hospital (Odesa). We examined 108 patients who underwent transabdominal (n = 58) or retroperitoneal laparoscopic adrenalectomy. The results were evaluated according to the following criteria: the duration of the surgical intervention, the amount of blood loss, the number of intra- and postoperative complications, the severity of postoperative pain, nausea, vomiting, the time of the first meal, the length of stay in the hospital.

Results and Discussion. The posterior retroperitoneal approach has significant advantages over the transabdominal approach when performing minimally invasive adrenalectomy, which can significantly reduce the hour of surgery (90.2±20.4) vs (68.4±15) minutes, p<0.05), reduce trauma, and reduce the severity of pain (in contrast to patients who underwent transabdominal laparoscopic adrenalectomy, patients after posterior retroperitoneal access were not prescribed opioid drugs, while in the TAL group 28 out of 44 patients received these analgesics, p<0.01), blood loss (112±80) vs. ml, p<0.05), to obtain a good cosmetic result and to reduce the time of hospital stay (7.2±2.1) vs (4.1±1.7) patient-bed-days, p<0.05).

Retroperitoneal access is a method of choice for adrenal surgery on the adrenals if other abdominal surgical interventions were done before.

References

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Published

2022-10-05

How to Cite

Sliepov, V. V., Grubnik, V. V., Parfentiev, R. S., & Grubnyk, V. V. (2022). Transabdominal and retropertinal adrenalectomy. Comparative studies. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 73–77. https://doi.org/10.11603/2414-4533.2022.3.13316

Issue

No. 3 (2022)

Section

EXPERIENCE OF WORK

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