Laparoscopic or retroperitoneoscopic adrenalectomy? New discussion regarding an old question

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The article presents a review of the literature on the newly developed discussion in the community of endocrine surgeons regarding the choice of laparoscopic or retroperitoneoscopic method for performing endosurgical adrenalectomy. The article considers the publications characterizing the advantages of the laparoscopic approach, the advantages of the retroperitoneoscopic approach, as well as studies that demonstrating the absence of differences in the results of using both surgical approaches. On the basis of the information presented in the sources of literature, situations are highlighted in which it is possible to realize the advantages of a particular type of approach. The characteristic of the general state of the question of the use of laparoscopic or retroperitoneoscopic techniques for adrenalectomy is given.

Keywords:

laparoscopic adrenalectomy

retroperitoneoscopic adrenalectomy

adrenal neoplasms

Authors:

Kurganov I.A.

Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation

ORCID: 0000-0003-0968-3955

Emelyanov S.I.

Evdokimov Moscow State University of Medicine and Dentistry

RSCI AuthorID: 526110
Scopus AuthorID: 6603872681
ORCID: 0000-0002-2575-1842

Bogdanov D.Yu.

Evdokimov Moscow State University of Medicine and Dentistry

Mamistvalov M.Sh.

Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0001-5277-484X

Received:

13.06.2020

Accepted:

08.07.2020

List of references:

Teksöz S, Kılboz BB, Bükey Y. Experience of an endocrine surgeon in laparoscopic transperitoneal adrenalectomy. BMC Surgery. 2019;19(1):134. https://doi.org/10.1186/s12893-019-0599-0
Maestre-Maderuelo M, Candel-Arenas M, Terol-Garaulet E, González-Valverde FM, Marín-Blazquez AA. Laparoscopic adrenalectomy: the best surgical option. Cirugía y Cirujanos. 2013; 81(3):196-201.
Niglio A, Grasso M, Costigliola L, Zenone P, De Palma M. Laparoscopic and robot-assisted transperitoneal lateral adrenalectomy: a large clinical series from a single center. Updates in Surgery. 2019;72(1):193-198. https://doi.org/10.1007/s13304-019-00675-8
Raffaelli M, De Crea C, Bellantone R. Laparoscopic adrenalectomy. Gland Surgery. 2019;8(1):41-52. https://doi.org/10.21037/gs.2019.06.07
Natkaniec M, Pędziwiatr M, Wierdak M, Major P, Migaczewski M, Matłok M, Budzyński A, Rembiasz K. Laparoscopic Transperitoneal Lateral Adrenalectomy for Large Adrenal Tumors. Urologia Internationalis. 2016;97(2):165-172. https://doi.org/10.1159/000444146
Lezoche G, Baldarelli M, Cappelletti Trombettoni MM, Polenta V, Ortenzi M, Tuttolomondo A, Guerrieri M. Two Decades of Laparoscopic Adrenalectomy: 326 Procedures in a Single-Center Experience. Surg Laparosc Endosc Percutan Techn. 2016;26(2): 128-132. https://doi.org/10.1097/SLE.0000000000000249
Economopoulos KP, Phitayakorn R, Lubitz CC, Sadow PM, Parangi S, Stephen AE, Hodin RA. Should specific patient clinical characteristics discourage adrenal surgeons from performing laparoscopic transperitoneal adrenalectomy? Surgery. 2016;159(1): 240-248. https://doi.org/10.1016/j.surg.2015.07.045
Limberg J, Ullmann TM, Gray KD, Stefanova D, Zarnegar R, Li J, Fahey TJ 3rd, Beninato T. Laparoscopic Adrenalectomy Has the Same Operative Risk as Routine Laparoscopic Cholecystectomy. J Surg Res. 2019;241:228-234. https://doi.org/10.1016/j.jss.2019.03.042
Vrielink OM, Wevers KP, Kist JW, Borel Rinkes IHM, Hemmer PHJ, Vriens MR, de Vries J, Kruijff S. Laparoscopic anterior versus endoscopic posterior approach for adrenalectomy: a shift to a new golden standard? Langenbeck’s Arch Surg. 2017;402(5): 767-773. https://doi.org/10.1007/s00423-016-1533-x
Vrielink OM, Hemmer PH, Kruijff S. Considerations in minimally invasive adrenal surgery: the frontdoor or the backdoor? Minerva Chirurgica. 2018;73(1):93-99. https://doi.org/10.23736/S0026-4733.17.07465-X
Mohammadi-Fallah MR, Mehdizadeh A, Badalzadeh A, Izadseresht B, Dadkhah N, Barbod A, Babaie M, Hamedanchi S. Comparison of transperitoneal versus retroperitoneal laparoscopic adrenalectomy in a prospective randomized study. J Laparoendosc Advanc Surg Techn. 2013;23(4):362-366.
Barczyński M, Konturek A, Nowak W. Randomized clinical trial of posterior retroperitoneoscopic adrenalectomy versus lateral transperitoneal laparoscopic adrenalectomy with a 5-year follow-up. Ann Surg. 2014;260(5):740-747. https://doi.org/10.1097/SLA.0000000000000982
Chai YJ, Kwon H, Yu HW, Kim SJ, Choi JY, Lee KE, Youn YK. Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy. Int J Endocrinol. 2014;918346. https://doi.org/10.1155/2014/918346
Chen W, Li F, Chen D, Zhu Y, He C, Du Y, Tan W. Retroperitoneal versus transperitoneal laparoscopic adrenalectomy in adrenal tumor: a meta-analysis. Surg Laparosc Endosc Percutan Techn. 2013;23(2):121-127. https://doi.org/10.1097/SLE.0b013e3182827b57
van Uitert A, d’Ancona FCH, Deinum J, Timmers HJLM, Langenhuijsen JF. Evaluating the learning curve for retroperitoneoscopic adrenalectomy in a high-volume center for laparoscopic adrenal surgery. Surg Endosc. 2017;31(7):2771-2775. https://doi.org/10.1007/s00464-016-5284-0
Kozłowski T, Choromanska B, Wojskowicz P, Astapczyk K, Łukaszewicz J, Rutkowski D, Dadan J, Rydzewska-Rosołowska A, Myśliwiec P. Laparoscopic adrenalectomy: lateral transperitoneal versus posterior retroperitoneal approach — prospective randomized trial. Videosurg Other Miniinvasive Techniques. 2019;14(2):160-169. https://doi.org/10.5114/wiitm.2019.84694
Chen W, Liang Y, Lin W, Fu GQ, Ma ZW. Surgical management of large adrenal tumors: impact of different laparoscopic approaches and resection methods on perioperative and long-term outcomes. BMC Urol. 2018;18(1):31. https://doi.org/10.1186/s12894-018-0349-0
Kiriakopoulos A, Petralias A, Linos D. Posterior retroperitoneoscopic versus laparoscopic adrenalectomy in sporadic and MENIIA pheochromocytomas. Surg Endosc. 2015;29(8):2164-2170. https://doi.org/10.1007/s00464-014-3912-0
Jiang YL, Qian LJ, Li Z, Wang KE, Zhou XL, Zhou J, Ye CH. Comparison of the retroperitoneal versus Transperitoneal laparoscopic Adrenalectomy perioperative outcomes and safety for Pheochromocytoma: a meta-analysis. BMC Surg. 2020;20(1):12. https://doi.org/10.1186/s12893-020-0676-4
Shiraishi K, Kitahara S, Ito H, Oba K, Ohmi C, Matsuyama H. Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for large pheochromocytoma: Comparative outcomes. Int J Urol. 2019;26(2):212-216. https://doi.org/10.1111/iju.13838
Romashchenko PN, Maistrenko NA, Pryadko AS, Lysanyuk MV, Blyumina SG. Bilateral retroperitoneoscopic adrenalectomy for adrenal chromaffinoma. Vestnik khirurgii imeni I.I. Grekova. 2016; 175(5):88-91. (In Russ.).
Romashchenko PN, Zheleznyak IS, Blyumina SG, Dovganyuk VS. CT-planning access for adrenalectomy. Vestnik Rossijskoj voenno-meditsinskoj akademii. 2019;1:105-109. (In Russ.).
Okoh AK, Berber E. Laparoscopic and robotic adrenal surgery: transperitoneal approach. Gland Surg. 2015;4(5):435-441. https://doi.org/10.3978/j.issn.2227-684X.2015.05.03
Ramacciato G, Nigri G, Di Santo V, Piccoli M, Pansadoro V, Buniva P, Bellagamba R, Cescon M, Ercolani G, Cucchetti A, Lauro A, Del Gaudio M, Ravaioli M, Valabrega S, D’Angelo F, Aurello P, Stigliano A, Toscano V, Melotti G. Minimally invasive adrenalectomy: transperitoneal vs. retroperitoneal approach. Chirurgia Italiana. 2008;60(1):15-22.
Ottlakan A, Paszt A, Simonka Z, Abraham S, Borda B, Vas M, Teleky B, Balogh A, Lazar G. Laparoscopic transperitoneal and retroperitoneal adrenalectomy: a 20-year, single-institution experience with an analysis of the learning curve and tumor size (lap transper and retroper adrenalectomy). Surg Endosc. 2020 Jan 17. [Epub ahead of print]. https://doi.org/10.1007/s00464-019-07337-1
Marrero AP, Kazaure HS, Thomas SM, Stang MT, Scheri RP. Patient selection and outcomes of laparoscopic transabdominal versus posterior retroperitoneal adrenalectomy among surgeons in the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP). Surgery. 2020;167(1):250-256. https://doi.org/10.1016/j.surg.2019.03.034
Feo CV, Portinari M, Maestroni U, Del Rio P, Severi S, Viani L, Pravisani R, Soliani G, Zatelli MC, Ambrosio MR, Tong J, Terrosu G, Bresadola V. Applicability of laparoscopic approach to the resection of large adrenal tumours: a retrospective cohort study on 200 patients. Surg Endosc. 2016;30(8):3532-3540. https://doi.org/10.1007/s00464-015-4643-6
Kurganov IA, Emelyanov SI, Bogdanov DYu, Matveev NL, Fedorov AV, Rutenburg GM, Guslev AB. Are large adrenal neoplasms technical limitation for laparoscopic adrenalectomy? Khirurgiya. Zhurnal imeni N.I. Pirogova. 2018;12:100-105. (In Russ.). https://doi.org/10.17116/hirurgia2018121100
Di Buono G, Buscemi S, Lo Monte AI, Geraci G, Sorce V, Citarrella R, Gulotta E, Palumbo VD, Fazzotta S, Gulotta L, Albano D, Galia M, Romano G, Agrusa A. Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes. BMC Surgery. 2019;18(1):128. https://doi.org/10.1186/s12893-018-0456-6
Inaishi T, Kikumori T, Takeuchi D, Ishihara H, Miyajima N, Shibata M, Takano Y, Nakanishi K, Noda S, Kodera Y. Obesity does not affect peri- and postoperative outcomes of transabdominal laparoscopic adrenalectomy. Nagoya J Medical Science. 2018;80(1):21-28. https://doi.org/10.18999/nagjms.80.1.21
Pędziwiatr M, Major P, Pisarska M, Natkaniec M, Godlewska M, Przęczek K, Dworak J, Dembiński M, Zub-Pokrowiecka A, Budzyński A. Laparoscopic transperitoneal adrenalectomy in morbidly obese patients is not associated with worse short-term outcomes. Int J Urol. 2017;24(1):59-63. https://doi.org/10.1111/iju.13241
Zonča P, Peteja M, Vávra P, Richter V, Ostruszka P. The risks of retroperitoneoscopic adrenalectomy. Rozhledy v Chirurgii. 2017; 96(3):130-133.
De Crea C, Raffaelli M, D’Amato G, Princi P, Gallucci P, Bellantone R, Lombardi CP. Retroperitoneoscopic adrenalectomy: tips and tricks. Update Surg. 2017;69(2):267-270. https://doi.org/10.1007/s13304-017-0469-1
Sommerey S, Foroghi Y, Chiapponi C, Baumbach SF, Hallfeldt KK, Ladurner R, Gallwas JK. Laparoscopic adrenalectomy — 10-year experience at a teaching hospital. Langenbecks Arch Surg. 2015;400(3):341-347. https://doi.org/10.1007/s00423-015-1287-x
Chen Y, Scholten A, Chomsky-Higgins K, Nwaogu I, Gosnell JE, Seib C, Shen WT, Suh I, Duh QY. Risk Factors Associated With Perioperative Complications and Prolonged Length of Stay After Laparoscopic Adrenalectomy. JAMA Surg. 2018;153(11):1036-1041. https://doi.org/10.1001/jamasurg.2018.2648
Conzo G, Tartaglia E, Gambardella C, Esposito D, Sciascia V, Mauriello C, Nunziata A, Siciliano G, Izzo G, Cavallo F, Thomas G, Musella M, Santini L. Minimally invasive approach for adrenal lesions: Systematic review of laparoscopic versus retroperitoneoscopic adrenalectomy and assessment of risk factors for complications. Int J Surg. 2016;28(S.1):S118-123. https://doi.org/10.1016/j.ijsu.2015.12.042
Walz MK. Minimally invasive adrenal gland surgery. Transperitoneal or retroperitoneal approach? Chirurg. 2012;83(6):536-545. https://doi.org/10.1007/s00104-011-2194-5
Sakatani T, Nishizawa K, Nakamura K, Kimura R, Fukumoto T, Okazoe H, Toyosato T, Inoue K, Terai A. Laparoscopic adrenalectomy: comparison of transperitoneal and retroperitoneal approaches. Nihon Hinyokika Gakkai Zasshi. 2015;106(2):89-94. https://doi.org/10.5980/jpnjurol.106.89
Arslan M, Akin Y, Ates M, Degirmenci T, Kozacioglu Z, Ors B, Gunlusoy B. Changing surgical approaches for laparoscopic adrenalectomy: single-surgeon data of a 6-year experience. Urol Int. 2013;91(3):304-309. https://doi.org/10.1159/000351959
Berber E, Tellioglu G, Harvey A, Mitchell J, Milas M, Siperstein A. Comparison of laparoscopic transabdominal lateral versus posterior retroperitoneal adrenalectomy. Surgery. 2009;146(4):621-625. https://doi.org/10.1016/j.surg.2009.06.057
Marek-Safiejko M, Safiejko K, Łukaszewicz J, Dadan J, Ładny RJ, Kozłowski R, Wojskowicz P, Myśliwiec P. A Comparison of Two Approaches to Laparoscopic Adrenalectomy: Lateral Transperitoneal Versus Posterior Retroperitoneal Approach. Advan Clin Exper Med. 2016;25(5):829-835. https://doi.org/10.17219/acem/62347
Myśliwiec P, Marek-Safiejko M, Lukaszewicz J, Safiejko K, Kozlowski R,Wojskowicz P, Dadan J. Videoscopic adrenalectomy — when does retroperitoneal seem better? Videosurg Other Miniinvas Techn. 2014;9(2):226-233. https://doi.org/10.5114/wiitm.2014.41636
Chai YJ, Yu HW, Song RY, Kim SJ, Choi JY, Lee KE. Lateral Transperitoneal Adrenalectomy Versus Posterior Retroperitoneoscopic Adrenalectomy for Benign Adrenal Gland Disease: Randomized Controlled Trial at a Single Tertiary Medical Center. Ann Surg. 2019;269(5):842-848. https://doi.org/10.1097/SLA.0000000000002603
Chiang PH, Yu CJ, Lee WC, Wang HJ, Hsu WC. Comparison of retroperitoneoscopic and transperitoneal laparoscopic adrenalectomy for right-sided benign tumors: a single-institute experience. Urol Int. 2015;94(2):144-148. https://doi.org/10.1159/000357627
Nigri G, Rosman AS, Petrucciani N, Fancellu A, Pisano M, Zorcolo L, Ramacciato G, Melis M. Meta-analysis of trials comparing laparoscopic transperitoneal and retroperitoneal adrenalectomy. Surgery. 2013;153(1):111-119. https://doi.org/10.1016/j.surg.2012.05.042
Constantinides VA, Christakis I, Touska P, Palazzo FF. Systematic review and meta-analysis of retroperitoneoscopic versus laparoscopic adrenalectomy. Br J Surg. 2012;99(12):1639-1648. https://doi.org/10.1002/bjs.8921
Vetshev PS, Yankin PL, Zhivotov VA, Poddubniy EI. Preferable surgery for benign tumors of the adrenal glands. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2018;6:66-76. (In Russ.). https://doi.org/10.17116/hirurgia2018666-76
Arezzo A, Bullano A, Cochetti G, Cirocchi R, Randolph J, Mearini E, Evangelista A, Ciccone G, Bonjer HJ, Morino M. Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults. Cochrane Database Systc Rev. 2018; 12:CD011668. https://doi.org/10.1002/14651858.CD011668.pub2

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