Robot-assisted adrenalectomy: a technical option for the surgeon?

✍ Scribed by P. C. Giulianotti; N. C. Buchs; P. Addeo; F. M. Bianco; S. M. Ayloo; G. Caravaglios; A. Coratti

• Book ID: 104583378
• Publisher: Wiley (Robotic Publications)
• Year: 2010
• Tongue: English
• Weight: 183 KB
• Volume: 7
• Category: Article
• ISSN: 1478-5951
• DOI: 10.1002/rcs.364

✦ Synopsis

Abstract

Background

The robotic approach is an interesting option for overcoming the limitations of laparoscopic adrenalectomy. We aimed to report our technique and outcomes of robot‐assisted adrenalectomy (RAA).

Methods

From November 2000 to February 2010, all consecutive patients who underwent a RAA by the same surgeon were prospectively entered into a dedicated database. The data were reviewed retrospectively.

Results

During the study period, 21 right (50%), 20 left (47.6%) and 1 bilateral (2.4%) RAA were performed. Mean lesion size was 5.5 cm (max. 10 cm). Mean operative time was 118 ± 46 min and median blood loss was 27 ml. There were no conversions. The postoperative morbidity rate was 2.4%; mortality rate, 2.4%; median hospital stay, 4 days.

Conclusions

RAA achieves good short‐term outcomes and could be considered a valid option for the treatment of adrenal masses, with the potential to expand the limits of minimally invasive surgery. Copyright © 2010 John Wiley & Sons, Ltd.