Abstract
Objective To compare the application effect of section anatomy transperitoneal approach and section anatomy retroperitoneal approach in laparoscopic adrenalectomy. Methods 68 patients undergoing adrenalectomy in our hospital from September 2014 to March 2017 were randomly divided into the control group and the observation group, 34 cases in each group. The patients in the control group underwent section anatomy transperitoneal approach laparoscopic adrenalectomy, while the patients in the observation group underwent section anatomy retroperitoneal approach laparoscopic adrenalectomy. The operation time, intraoperative blood loss, the length of incision, blood transfusion rate, postoperative intestinal function recovery time, indwelling drainage tube time, time of off-bed, postoperative hospitalization time, and postoperative analgesic use ratio, the incidence of complications in the two groups were compared. Results The operation time [(82.37±9.18)min vs. (120.16±19.34)min], intraoperative blood loss [(49.62±17.32)ml vs. (60.28±23.27)ml], the length of operative incision [(4.26±0.59)cm vs. (4.67±0.83)cm], indwelling drainage tube time [(2.36±0.47)d vs. (3.25±0.52)d], postoperative intestinal function recovery time [(1.72±0.28)d vs. (2.95±0.49)d], time of off-bed after surgery [(2.32±0.38)d vs. (3.27±0.49)d], and postoperative hospital stay [(6.47±1.68)d vs. (8.73±2.34)d] of the observation group were significantly less than those of the control group (P 0.05). The rate of complications was 8.82% in the observation group and 11.76% in the control group, without statistically significant difference (P>0.05). Conclusion Section anatomy guided by anatomy of the fascia is helpful for the accurate anatomy during the laparoscopic resection, shortening the operation time, reducing the amount of bleeding during operation, worthy of clinical application. Key words: Adrenalectomy; Section anatomy; Transperitoneal approach; Retroperitoneal approach; Clinical effect
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