Comparison of Needlescopic vs. Conventional Laparoscopic Adrenalectomy for Tumor Less Than 4 cm
Post Operative Pain, Acute
About this trial
This is an interventional other trial for Post Operative Pain, Acute focused on measuring Visual Analogue Scale, Post Operative Pain, Dosage of analgesic, Cosmetic
Eligibility Criteria
Inclusion Criteria: Over the age of 20 years old. Primary aldosteronism with unilateral adrenal lesions smaller than 4 cm Indications for laparoscopic surgery. Informed consent Exclusion Criteria: Over 80 years old Suspected adrenal malignancy or pheochromocytoma Other concurrent surgery Patients who underwent bilateral adrenal tumor resection at the same time History of peritonitis or having undergoing major ipsilateral abdominal surgery. American Society of Anesthesiologists (ASA) Class III or IV (with severe cardiovascular disease, uncontrolled hypertension, diabetes, chronic pulmonary obstructive pulmonary disease, morbid obesity (BMI > 40), dialysis patients, myocardial infarction, stroke, coronary artery disease, liver or coagulation dysfunction, etc.) Opioid addiction Patient have side effects from taking of acetaminophen, celecoxib or opioids Acute intoxication of alcohol, sleep aids, anesthetics, centrally acting analgesics, opium or psychotropic drugs has occurred. Patients using monoamine oxidase inhibitors (MAOIs) concurrently or within the past 14 days. Patients with chronic pain or respiratory depression (such as chronic obstructive pulmonary disease) Pregnancy
Sites / Locations
- National Taiwan University Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Needlescopic laparoscopic adrenalectomy
conventional laparoscopic adrenalectomy
Needlescopic laparoscopic surgery refers to the use of instruments with a diameter of less than or equal to 3 mm for laparoscopic surgery.
a 12 mm camera port ,and two additional (left anterior axillary line and left midclavicular line; for left tumors) or three additional(right anterior axillary line, right midclavicular line, and subxiphoid; for right tumors) 5 mm working ports along the ipsilateral subcostal were created regionally.