[Seventy degrees lateral decubital trans-abdominal laparoscopic adrenal surgery].
OBJECTIVE
To introduce a new procedure of laparoscopic adrenal surgery.


METHODS
Thirty patients with adrenal disease underwent surgery by a 70 degrees lateral decubital trans-abdominal laparoscopic approach, which wa compared with 30 degrees decubital laparoscopic operation in 26 patients.


RESULTS
The procedure is superior to open laparotomy. There was significant difference in average operative time (77.2 min vs. 215.7 min), blood lost volume (27.0 ml vs. 94.5 ml), and postoperative complications (13.3% vs. 46.0%). Postoperative feeding time and hospitalization time were shortened markedly.


CONCLUSIONS
This modified technique is safe, straightforward, with a good anatomic view during operation. It could be widely adopted for the treatment of benign adrenal disease, especially pheochromocytoma.
Gao
Zhen-li
ZL
Department of Urology, Yuhuangding Hospital, Yantai 264000, China.
Sun
De-kang
DK
Guo
Tong-ben
TB
Yang
Dian-dong
DD
D000307:Adrenal Gland Diseases / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D011187:Posture; D016896:Treatment Outcome