Clinical application of retroperitoneal laparoscopic surgery in unilateral solitary adrenal metastasis

Abstract

Objective To summarize the feasibility and effect of retroperitoneal laparoscopic surgery for unilateral solitary adrenal metastases. Methods The clinical data of 18 patients with unilateral solitary adrenal metastases admitted to Beijing General Aerospace Hospital from January 2008 to September 2015 were retrospectively analyzed, including 14 males and 4 females, with the average age of 58.6 years, ranged from 45 to 75 years. All patients underwent retroperitoneal laparoscopic surgery. The intraoperative and postoperative complications and 3-year survival rate were observed. Results All 18 patients underwent the operation successfully, one of them had open surgery due to large tumor, intraoperative adhesion, and hemorrhage. All patients had no postoperative complications. 17 patients were followed up after the operation, the follow-up rate was 94.4% (17/18), and the 3-year survival rate was 70.6% (12/17). Conclusion Retroperitoneal laparoscopic surgery is a safe and effective treatment for unilateral solitary adrenal metastases. Key words: Adrenal glands; Neoplasm metastasis; Laparoscopes; Treatment outcome