副腎腫瘍に対する鏡視下副腎摘除術の検討―到達法別の治療成績の比較検討―

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<p>  We aimed to compare perioperative outcomes and postoperative complications between transperitoneal and retroperitoneal laparoscopic adrenalectomy.</p><p>  Ninety consecutive patients who underwent laparoscopic adrenalectomy from July 2005 to August 2019 were retrospectively reviewed. Patients were divided into 2 groups according to the approach : transperitoneal or retroperitoneal. Groups were compared regarding perioperative outcomes and postoperative complications. Fifty-two and 38 received transperitoneal and retroperitoneal approaches, respectively. Clinical and preoperative characteristics were similar in the groups.</p><p>  There was no difference in the operative time, length of hospital stay, or postoperative complications. The volumes of blood loss were significantly larger in the transperitoneal group than retroperitoneal group (mean : 110.7 vs. 39.9 mL, respectively p＝0.021). Four patients in the transperitoneal group underwent conversion to open surgery.</p><p>  In conclusion, transperitoneal and retroperitoneal approaches for laparoscopic adrenalectomy led to comparable perioperative outcomes and postoperative complications.</p>

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