Retroperitoneal Laparoscopic Surgery: Clinical Analysis of 2621 Cases

  Objective  To summarize the clinical experiences of 2621 patients treated with retroperitoneal laparoscopic surgery.

  Methods  Totally 2621 patients1271 males and 1350 females; aged 8-86 years (mean 48.9 years) were treated with retroperitoneal laparoscopic surgery from 2002 to 2009 in the Urology Department of Peking Union Medical College Hospital. The demographic and clinical data of these patients were retrospectively analyzed.

  Results  Among these patients, 1410 patients (53.79%) underwent adrenal surgery, 1041 (39.72%) underwent renal surgery, and 170 (6.49%) underwent renal pelvis and ureter surgery, with an operating time of 20-120 minutes (mean:60.5 minutes) and a intra-operative bleeding volume of 10-1500 ml (mean:85.2 ml). The overall hospital stay was 3-97 days (mean:20.6 days) and the postoperative hospital stay was 2-35 days (mean:6.5 days). Complicatons were noted in 191 patients and were well managed.

  Conclusions  The retroperitoneal laparoscopic surgical technique has been widely used in urology department. It has been proven to be safe and effective.