{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:13:07Z","timestamp":1787026387535,"version":"build-2736575974"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:00:00Z","timestamp":1671494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013064","name":"Key Research and Development Program of Jiangxi Province","doi-asserted-by":"publisher","award":["20171ACB20029 to Xiaochen Zhou, 20212BAG70001 to Haibo Xi"],"award-info":[{"award-number":["20171ACB20029 to Xiaochen Zhou, 20212BAG70001 to Haibo Xi"]}],"id":[{"id":"10.13039\/501100013064","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the outcome and safety of retroperitoneal laparoscopic partial adrenalectomy in the treatment of nonfunctional unilateral adrenal tumors in the day surgery mode.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nineteen patients bearing nonfunctional unilateral 20-40\u00a0mm adrenal tumors were prospectively enrolled and underwent retroperitoneal laparoscopic partial adrenalectomy in the day surgery unit of our hospital between June 2021 and March 2022. All patients were diagnosed with non-functional adrenal tumors as outpatients before being admitted to the day surgery unit with their consent. Patient demographics and perioperative data were prospectively documented. The patients were followed up by telephone on day 1, 3 and 7 after discharge and followed up for 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient\u2019s age was 50.5 \u00b1 11.9 yr (range from 19.0 - 69.0). Seven patients were female. Twelve patients underwent surgery on the left side. The maximal diameter of tumor was 28.3 \u00b1 5.7\u00a0mm (20.0 - 40.0\u00a0mm). Operation time was 72.1 \u00b1 14.9\u00a0min (58.0 - 120.0\u00a0min). Mean blood loss was 64.7 \u00b1 50.4\u00a0ml (30.0 - 200.0\u00a0ml). The gastrointestinal function recovery time was 9.7 \u00b1 2.6\u00a0h (6.0 - 16.0\u00a0h). Retroperitoneal drainage was removed 24.8 \u00b1 13.3\u00a0h (range 18.0 - 72.0) after surgery. Four patients were transferred to the general ward for postoperative management, while others were discharged within 24 hours after surgery. Length of hospital stay was 48.8 \u00b1 13.1\u00a0h (38.0 - 85.0h). Hospitalization expense was 24168.4 \u00b1 2910.3 RMB\u00a5 (20844.3 - 34369.8 RMB\u00a5). Postoperative pathology revealed 17 cortical adenoma, 1 pheochromocytoma and 1 lymphatic duct tumor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Retroperitoneal laparoscopic partial adrenalectomy for nonfunctional unilateral adrenal tumors in the day surgery mode is safe when strict selection criteria and perioperative management protocol are followed, which has the potential to shorten length of hospital stay and reduce lower hospitalization costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fendo.2022.1099818","type":"journal-article","created":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:51:16Z","timestamp":1671497476000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Retroperitoneal laparoscopic partial adrenalectomy (RLPA) for 20-40\u00a0mm nonfunctional adrenal tumors 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