Application of retroperitoneal laparoscopy and robotic surgery in complex adrenal tumors

Kai-Chieh Huang, Yehua Wang
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Abstract

As a surgical method for the treatment of adrenal surgical diseases, laparoscopy has the advantages of small trauma, short operation time, less bleeding, and fast postoperative recovery. It is considered as the gold standard for the treatment of adrenal surgical diseases. Retroperitoneal laparoscopy is widely used because it does not pass through the abdominal cavity, does not interfere with internal organs, and has little effect on gastrointestinal function. However, complex adrenal tumors have the characteristics of large volume, compression of adjacent tissues, and invasion of surrounding tissues, so they are rarely treated by retroperitoneal laparoscopy. In recent years, with the development of laparoscopic technology and the progress of surgical technology, robotic surgery has been gradually applied to the surgical treatment of complex adrenal tumors. This paper reviews the clinical application of retroperitoneal laparoscopic surgery and robotic surgery in the treatment of complex adrenal tumors.
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腹膜后腹腔镜与机器人手术在复杂肾上腺肿瘤中的应用
腹腔镜手术作为治疗肾上腺外科疾病的一种手术方法,具有创伤小、手术时间短、出血少、术后恢复快等优点。它被认为是治疗肾上腺外科疾病的金标准。后腹膜腹腔镜由于不穿过腹腔,不干扰内脏器官,对胃肠功能影响小而被广泛应用。但复杂肾上腺肿瘤具有体积大、压迫邻近组织、侵犯周围组织的特点,很少采用后腹腔镜治疗。近年来,随着腹腔镜技术的发展和手术技术的进步,机器人手术已逐渐应用于复杂肾上腺肿瘤的手术治疗中。本文综述了后腹腔镜手术和机器人手术在复杂肾上腺肿瘤治疗中的临床应用。
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