Abstract
Background and Objective: Posterior retroperitoneoscopic adrenalectomy has become an increasingly popular approach for removal of the adrenal gland. When compared to the transabdominal approach, it has several advantages including shorter operative time, less blood loss, less postoperative pain, faster recovery, improved cost-effectiveness, and abolished risk of trocar site herniation due to the direct approach to the adrenal gland. However, many surgeons still prefer the transabdominal approach, which is possibly a result of the uncommon anatomical view, limited working space and estimated longer learning curve of the retroperitoneal approach. The primary objective of this review was to evaluate the learning curve for posterior retroperitoneoscopic adrenalectomy and to propose a strategy for surgeons starting to learn this technique.
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