Retroperitoneoscopic surgery for adrenal cysts: a single-center experience of 14 cases.
OBJECTIVE
To evaluate the operative methods and clinical role of retroperitoneoscopic operation for adrenal cysts.


METHODS
Clinical data from five male and nine female patients with a mean age of 43.5 years (range 25-68 years) who underwent retroperitoneoscopic operation for adrenal cysts from February 2000 to May 2005 were analyzed retrospectively. There were six lesions on the left side and eight on the right. The median diameter of the lesions was 8.1 cm (range 4.6-12.5 cm).


RESULTS
Retroperitoneoscopy was successful in all the 14 cases and included 9 cyst decortications and 5 partial adrenalectomies. The median operative time, median blood loss, and mean postoperative hospital stay were 45.5 minutes (range 19-83 minutes), 34.5 mL (range 10-60 mL), and 4.0 +/- 0.8 days, respectively. No major postoperative complications occurred except for one case of subcutaneous emphysema and one of wound infection. The mean analgesic requirement for opioids and diclofenac sodium was 0 and 4.8 +/- 1.1 doses, respectively. With a median follow-up of 12 months (range 6-36 months), no recurrence was found.


CONCLUSIONS
As a safe and reliable method, retroperitoneoscopic surgery can be a good treatment option for adrenal cysts.
Zhang
Xu
X
Department of Urology, Tongji Hospital/Medical College, Huazhong University of Science and Technology, Wuhan, China. xzhang@tjh.tjmu.edu.cn
Zheng
Tao
T
Ma
Xin
X
Li
Hong-Zhao
HZ
Fu
Bin
B
Lang
Bin
B
Xu
Kai
K
Zhang
Jun
J
Song
Xiao-Dong
XD
Wu
Zhen-Qi
ZQ
Ye
Zhang-Qun
ZQ
D000307:Adrenal Gland Diseases / Q000601:surgery*; D000328:Adult; D000368:Aged; D003560:Cysts / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space / Q000601:surgery*; D012189:Retrospective Studies