Abstract：Objective To summarize clinical application values of precise anatomical retroperitoneoscopic technology in kidney and adrenal gland diseases.Methods Forty-three patients with the occupation lesions of the renal or adrenal were enrolled in this study, including 23 males and 20 females with the age of (39.8±18.7)years old. Among them, adrenal tumor 16 patients, renal tumor 19 patients,renal cyst 8 patients. All patients underwent precise anatomical retroperitoneoscopic operation, retroperitoneal laparoscopic adrenalectomy or retroperitoneal laparoscopic radical nephrectomy or retroperitoneal laparoscopic renal cyst decompression. The intraoperative blood loss, operation time, complications, indwelling time of drainage tube, hospitalization time and follow-up data were observed.Results All the operations were successful with no case transferred to open operation. No complications occurred, no leakage of urine and retroperitoneal infection, no intestinal obstruction and renal insufficiency, no perioperative death. The mean operation time, intraoperative bleeding volume, indwelling time of drainage tube and postoperative hospitalization time of retroperitoneal laparoscopic adrenalectomy were 35 minutes, 15 mL, (3.2±0.6) d and (4.8±1.6) d respectively. Retroperitoneal laparoscopic radical nephrectomy were 72 minutes, 90 mL, (3.8±0.7) d and (6.5±2.4) d, and retroperitoneal laparoscopic renal cyst decompression were 25 minutes and 10 mL, (2.5±0.5)d and (4.2±1.3) d. Postoperative pathology of renal masses included 2 patients of renal chromophobe cell carcinoma,3 patients of papillary renal cell carcinoma,and 14 patients of clear cell renal cell carcinoma. Postoperative adrenal tumors were benign adenomas.All patients were followed up for 12-30 months after surgery, no local recurrence or distant metastasis.Conclusions Precise anatomic retroperitoneal laparoscopic surgery can reduce bleeding, with clear vision, small trauma and low complication rate for kidney and adrenal gland diseases. It is helpful to normalize and standardize the operation, which is easy to learn for the beginners and helpful for rapid popularization of technology.
薛胜, 李庆文, 刘建民, 汪盛, 陈志军, 王成勇, 张家俊, 李建, 杨帅. 精准解剖性后腹腔镜技术在肾和肾上腺占位性病变中的应用[J]. 中华解剖与临床杂志, 2018, 23(4): 323-327.
Xue Sheng, Li Qingwen, Liu Jianmin, Wang Sheng, Chen Zhijun, Wang Chengyong, Zhang Jiajun, Li Jian, Yang Shuai.. Application of precise anatomical retroperitoneoscopic technology in kidney and adrenal gland diseases. Chinese Journal of Anatomy and Clinics, 2018, 23(4): 323-327.
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2018, Vol. 23 
