Adrenalectomia posterior retroperitoneoscópica – introdução da técnica num hospital generalista

Abstract

Posterior retroperitoneoscopic adrenalectomy, a seldom performed surgical approach to the adrenal glands seems to offer several advantages when compared with the transperitoneal approach. They include, among others, lesser need for analgesia, inferior surgical time and faster global recuperation period.Its main drawback has been the fact that most general and endocrine surgeons are unfamiliar and feel unconfortable when dealing with the retroperitoneal space area.It is our main purpose with this paper to contribute to a better understanding and knowledge of this surgical procedure. The steps that led to its implementation among us are summarily described. Our first eleven patients are reported.This approach is discussed at the light of our experience and the verified outcomes, particularly in what concerns the technical and logistic conditions that are deemed mandatory to allow it to be properly and safely performed.