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

Tópicos

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Resumo

CKGROUND: 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.

Resumo Limpo

ckground robot approach interest option overcom limit laparoscop adrenalectomi aim report techniqu outcom robotassist adrenalectomi raamethod novemb februari consecut patient underw raa surgeon prospect enter dedic databas data review retrospectivelyresult studi period right left bilater raa perform mean lesion size cm max cm mean oper time min median blood loss ml convers postop morbid rate mortal rate median hospit stay daysconclus raa achiev good shortterm outcom consid valid option treatment adren mass potenti expand limit minim invas surgeri

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