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Retrospective comparison of three minimally invasive approaches for adrenal tumors: Perioperative outcomes of transperitoneal laparoscopic, retroperitoneal laparoscopic and robot-assisted laparoscopic adrenalectomy

BMC Urology Jun 12, 2020

Ji C, Lu Q, Chen W, et al. - In this study, the perioperative outcomes of transperitoneal laparoscopic (TLA), retroperitoneal laparoscopic (RLA), and robot-assisted transperitoneal laparoscopic (RATLA) adrenalectomy were compared for adrenal tumors in our center. Researchers conducted 241 minimally invasive adrenalectomies between April 2012 and February 2018. They divided cases based on the minimally invasive adrenalectomy technique. They retrospectively obtained and analyzed demographic characteristics, perioperative information and pathological data. Thirty-seven TLA, 117 RLA, and 87 RATLA procedures were included in the study. Association was found between minimally invasive adrenalectomy and expected excellent outcomes. The RATLA technique seems to give the advantages of reduced estimated blood loss and length of stay. It was shown that robotic adrenalectomy was found to be a safe and effective alternative to conventional laparoscopic adrenalectomy.

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