关键词: font-size:medium, ">程序化精准解剖；后腹腔镜；肾上腺肿瘤；肾功能；术后并发症

Abstract: Objective：The application of programmed precise anatomy in retroperitoneal laparoscopic adrenal tumor surgery and its influence on renal function were studied. Methods： 90 patients with adrenal tumors were enrolled in the study. According to the different operation methods， they were divided into the routine group and the precise anatomy group， with 45 cases in each group. The routine group underwent conventional retroperitoneal laparoscopic adrenalectomy(RLA)， and the precision anatomy group underwent programmed preciseanatomy RLA. The surgical related indicators， renal function related indicators， and the incidence of postoperative complications of the two groups were compared. Results：The operation duration time， hospitalization time， intraoperative blood loss， and drainage volume of the precision anatomy group were lower than those of the conventional group (P<0.05). There was no statistical difference in the levels of Scr and BUN between the two groups of patients at 1 d and 3 d after operation (P>0.05). The urine RBC level of patients in the precise anatomy group was lower than that of the conventional group at 1 d and 3 d after operation (P<0.05). The incidence of postoperative complications in the precise anatomy group was lower than that in the routine group (P<0.05).Conclusion：The application of programmed precise anatomy in retroperitoneal laparoscopic adrenal tumor surgery is beneficial to the postoperative recovery of patients， with less intraoperative blood loss and short operation duration. Moreover， its mechanical damage to the kidney is small， and the complication incidence rate is low.

Key words: font-size:medium, ">Programmed precise anatomy；Retroperitoneal laparoscopy；Adrenal tumors；Renal function；Postoperative complications