Published online Jun 28, 2021. doi: 10.35713/aic.v2.i3.42
Peer-review started: April 19, 2021
First decision: May 11, 2021
Revised: May 17, 2021
Accepted: June 18, 2021
Article in press: June 18, 2021
Published online: June 28, 2021
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.
Core Tip: The posterior laparoscopy does not interfere with the internal organs and has little effect on the function of the gastrointestinal tract, thus widely being used. However, complex adrenal tumors are characterized by large volume, compression of adjacent tissues, and invasion of surrounding tissues. Therefore, they are rarely treated by retroperitoneal laparoscopic surgery. Recently, with the development of laparoscopic techniques and advances in surgical techniques, reports about retroperitoneal laparoscopic adrenalectomy have gradually increased. This article reviews the clinical application of laparoscopy in complex adrenal tumors.