Int J Med Robot - Comparison of robotic adrenalectomy with traditional laparoscopic adrenalectomy with a lateral transperitoneal approach: a single-surgeon experience.

Tópicos

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Resumo

CKGROUND: Although several recent studies have demonstrated the feasibility and safety of robotic adrenalectomy, it is unknown whether this procedure has advantages over the traditional laparoscopic approach. This study compared our initial experience using the da Vinci-S? robotic surgical system during laparoscopic adrenalectomy with our experience with traditional laparoscopic adrenalectomy.METHODS: From October 2009 to May 2012, 23 consecutive patients (13 women, 10 men) underwent laparoscopic adrenalectomy by the same surgeon at Anam Hospital, Korea University Medical Center. Fifteen patients (9 women, 6 men) underwent robot-assisted adrenalectomy (right-sided, 4 patients; left-sided, 11 patients). Eight patients (4 women, 4 men) underwent traditional laparoscopic adrenalectomy (right-sided, 5 patients; left-sided, 3 patients). The lateral transperitoneal approach was used for all patients.RESULTS: There were no cases of conversion to traditional laparoscopic or open surgery. The mean operative time was longer in the robotic group (208.2minutes, range 120-320) than the laparoscopic group (181.13minutes, range 75-270). There were no cases of intraoperative complications or mortality. The mean hospital stay did not differ significantly between groups (robotic group, 5.86days (SD 1.16); laparoscopic group, 6.71days (SD 1.38)).CONCLUSIONS: With its magnified stereoscopic three-dimensional vision, elimination of tremor, and ability to articulate and rotate surgical instruments, the da Vinci-S? robotic system may be an ideal surgical tool for the operation of adrenal lesions. Robotic adrenalectomy appears to be a safe and effective alternative to traditional laparoscopic adrenalectomy.

Resumo Limpo

ckground although sever recent studi demonstr feasibl safeti robot adrenalectomi unknown whether procedur advantag tradit laparoscop approach studi compar initi experi use da vinci robot surgic system laparoscop adrenalectomi experi tradit laparoscop adrenalectomymethod octob may consecut patient women men underw laparoscop adrenalectomi surgeon anam hospit korea univers medic center fifteen patient women men underw robotassist adrenalectomi rightsid patient leftsid patient eight patient women men underw tradit laparoscop adrenalectomi rightsid patient leftsid patient later transperiton approach use patientsresult case convers tradit laparoscop open surgeri mean oper time longer robot group minut rang laparoscop group minut rang case intraop complic mortal mean hospit stay differ signific group robot group day sd laparoscop group day sd conclus magnifi stereoscop threedimension vision elimin tremor abil articul rotat surgic instrument da vinci robot system may ideal surgic tool oper adren lesion robot adrenalectomi appear safe effect altern tradit laparoscop adrenalectomi

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