title: [Retroperitoneal laparoscopic decortication and adrenalectomy for the therapy of adrenal cysts].
abstract: OBJECTIVE
  To summarize the clinical characteristics of adrenal cysts and compare the therapeutic results of two different laparoscopic surgical techniques.
  
  
  METHODS
  Sixteen patients of adrenal cysts were summarized retrospectively from May 2005 to June 2012. Their clinical manifestations, pathological features, therapeutic effects and prognosis were analyzed. There were 7 males and 9 females aged 39.4 (25-68) years.Eight patients were symptomatic and the others were identified incidentally. They underwent laparoscopic surgery through retroperitoneal space, including adrenalectomy (n = 11) and decortication (n = 5).
  
  
  RESULTS
  All were confirmed as adrenal cysts by postoperative pathological examination.It accounted for around 7.5% of adrenal disease treated surgically at our department cutaneous. The diagnostic accuracy of computed tomography and magnetic resonance imaging was 11/16 and 3/3 respectively. The mean diameter of cyst was 5.3 (1-14) cm and no apparent endocrine abnormalities were found. The symptoms of 7/8 patients were relieved after a mean 48 months follow-up.No recurrence was found in this cohort. The average operative duration and estimated volume of blood loss were significantly less in laparoscopic decortication group ( (48 ± 10) min, (16 ± 11) ml) than laparoscopic adrenalectomy group ((74 ± 21) min, (34 ± 30) ml) .
  
  
  CONCLUSIONS
  Laparoscopic surgery is an effective procedure for the treatment of adrenal cysts. And retroperitoneal laparoscopic decortication may be preferred treatment option for large benign adrenal cysts.
authors.affiliation: Department of Urology, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Ren
authors.forename: Xiang
authors.initials: X
authors.lastname: Wang
authors.forename: Nai-bo
authors.initials: NB
authors.lastname: Liu
authors.forename: Guan
authors.initials: G
authors.lastname: Zhang
authors.forename: Li
authors.initials: L
authors.lastname: Yu
mesh_terms: D000307:Adrenal Gland Diseases / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome