title: Comparison of Modified Retroperitoneal Adrenalectomy With the Gold Standard for Benign Adrenal Tumors.
abstract: OBJECTIVE
  To compare our modified retroperitoneoscopic adrenalectomy with the standard procedure.
  
  
  METHODS
  A total of 68 patients underwent modified retroperitoneoscopic adrenalectomy. Simultaneously, another 23 patients were treated using the standard procedure. The demographic data and perioperative outcomes of the patients were obtained for statistical analysis.
  
  
  RESULTS
  No significant differences in age, evaluated blood loss, oral intake, and hospital stay were observed. The mean operation time in the modified group was shorter than that in the standard group (58.3±16.4 vs. 79.5±23.6 min, P<0.05). The median total length of incision was shorter in the modified group than in the standard group (4.5±0.8 vs. 6.4±1.1 cm, P<0.05). The modified group also showed significantly better pain control (3 vs. 6 diclofenac sodium use, P<0.05) and cosmetic outcome (score, 9.1±1.8 vs. 8.2±2.1, P<0.05) than the standard group.
  
  
  CONCLUSIONS
  Our modified retroperitoneoscopic adrenalectomy is a safe and alternative procedure for adrenal tumors. This procedure offers superior cosmetic outcome, better pain control, and shorter operation time compared with the standard retroperitoneal adrenalectomy.
authors.affiliation: Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
authors.forename: Dongliang
authors.initials: D
authors.lastname: Hu
authors.forename: Xinghuan
authors.initials: X
authors.lastname: Wang
authors.forename: Tongzu
authors.initials: T
authors.lastname: Liu
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000517:prevention & control; D017060:Patient Satisfaction; D011446:Prospective Studies; D012187:Retroperitoneal Space; D016896:Treatment Outcome
chemical_list: D000700:Analgesics