Omparative Study On Laparoscopic And Open Adrenalectomyfor Adrenal Myelolipoma

PURPOSE:To compare and evaluate the clinical value between laparoscopic adrenalectomy and open adrenalectomy for adrenal myelolipoma as the treatment of adrenal diseases. MATERIALS AND METHODSThe clinical data of 47 cases of patientsUnderwent laparoscopic adrenectomy and 10 cases of patients underwent open adrenalectomy were analyzed retrospectively.The differences in operating time.average bleeding volume during operation.hospitalization stay after operation.recovery time of GI function of the two procedures were compared.RESULTSIn 47 laparoscopic adrenectomies 1 were converted to open surgery,others were succeed.The mean operation time,average bleeding volume during operation.recovery time of GI function.hospitalization stay after operation of the laparoscopic group and open surgery group were:(128.3±49.6)min vs(140.5±43.9)min; (53.3±57.1)mlvs(145.5±110.5)ml:(2.1±0.7)days vs(2.9±0.7)days:(5.6±1.0)clays vs(10.7±4.9)days,respectively. CONCLUSIONSIn laparoscopic adrenalectomy group,the operation time.average bleeding volume during operation,hospitalization stay after operation,recovery time of GI function and occurrence of complication were superior to those in the open adrenalectomy group. Retroperitoneal laparoscopic adrenalectomy would become the first choice of the adrenal myelolipoma surgery.