This study evaluates posterior retroperitoneoscopic adrenalectomy, a minimally invasive technique for adrenal gland removal, based on results from 560 procedures in 520 patients. The researchers highlight the advantages of this method compared to laparoscopic transabdominal adrenalectomy, particularly its direct access to the adrenal glands.
Key Findings:
- Zero mortality rate across all cases.
- Low conversion rate (1.7%) to open or laparoscopic lateral surgery.
- Major complications occurred in only 1.3% of cases, while minor complications were reported in 14.4%.
- Operating time improved significantly over the study period—from an initial average of 106 minutes down to 40 minutes in later procedures.
Conclusions:
The posterior retroperitoneoscopic approach is both safe and efficient, with significant advantages in terms of reduced complications and shorter operating times. The study suggests that experienced surgeons can achieve excellent outcomes using this method.
