scholarly journals Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?

Cureus ◽  
2020 ◽  
Author(s):  
Narasimhan Ragavan ◽  
Nivash Selvaraj ◽  
Deepak Raghavan ◽  
Ramesh Kamalakannan ◽  
Thirumalai Ganesan Govindaswamy ◽  
...  
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Robot Assisted ◽  
Size Matter

scholarly journals Retrospective comparison of three minimally invasive approaches for adrenal tumors: perioperative outcomes of transperitoneal laparoscopic, retroperitoneal laparoscopic and robot-assisted laparoscopic adrenalectomy

BMC Urology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Changwei Ji ◽  
Qun Lu ◽  
Wei Chen ◽  
Feifei Zhang ◽  
Hao Ji ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Blood Loss ◽  
Minimally Invasive ◽  
Laparoscopic Adrenalectomy ◽  
Perioperative Outcomes ◽  
Adrenal Tumors ◽  
Transfusion Rate ◽  
Robot Assisted ◽  
Estimated Blood Loss ◽  
Minimally Invasive Adrenalectomy

Abstract Background To compare the perioperative outcomes of transperitoneal laparoscopic (TLA), retroperitoneal laparoscopic (RLA), and robot-assisted transperitoneal laparoscopic (RATLA) adrenalectomy for adrenal tumors in our center. Methods Between April 2012 and February 2018, 241 minimally invasive adrenalectomies were performed. Cases were categorized based on the minimally invasive adrenalectomy technique. Demographic characteristics, perioperative information and pathological data were retrospectively collected and analyzed. Results This study included 37 TLA, 117 RLA, and 87 RATLA procedures. Any two groups had comparable age, ASA score, Charlson Comorbidity Index, and preoperative hemoglobin. The tumor size for RLA patients was 2.7 ± 1.1 cm, which was significantly smaller compared to patients who underwent TLA/RATLA (p = 0.000/0.000). Operative time was similar in any two groups, while estimated blood loss was lower for RATLA group (75.6 ± 95.6 ml) compared with the TLA group (131.1 ± 204.5 ml) (p = 0.041). Conversion to an open procedure occurred in only one (2.7%) patient in the TLA group for significant adhesion and hemorrhage. There were no significant differences between groups in terms of transfusion rate and complication rate. Length of stay was shorter for the RATLA group versus the TLA/RLA group (p = 0.000/0.029). In all groups, adrenocortical adenoma and pheochromocytoma were the most frequent histotypes. Conclusions Minimally invasive adrenalectomy is associated with expected excellent outcomes. In our study, the RATLA approach appears to provide the benefits of decreased estimated blood loss and length of stay. Robotic adrenalectomy appears to be a safe and effective alternative to conventional laparoscopic adrenalectomy.

Robot-assisted versus conventional laparoscopic adrenalectomy: Results from the EUROCRINE Surgical Registry

Surgery ◽  
2022 ◽  
Author(s):  
Safa Vatansever ◽  
Erik Nordenström ◽  
Marco Raffaelli ◽  
Laurent Brunaud ◽  
Özer Makay ◽  
...  
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Robot Assisted ◽  
Conventional Laparoscopic

scholarly journals Comparison of robot-assisted retroperitoneal laparoscopic adrenalectomy versus retroperitoneal laparoscopic adrenalectomy for large pheochromocytoma: a single-centre retrospective study

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sheng-Qiang Fu ◽  
Chang-Shui Zhuang ◽  
Xiao-Rong Yang ◽  
Wen-Jie Xie ◽  
Bin-Bin Gong ◽  
...  
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Operative Time ◽  
Haemodynamic Instability ◽  
Robot Assisted ◽  
Improvement Rate ◽  
Long Term Follow Up ◽  
Tumour Characteristics ◽  
Group 1

Abstract Background To evaluate the feasibility and safety of robot-assisted retroperitoneal laparoscopic adrenalectomy (RARLA) for large pheochromocytomas (PHEOs; size≥6 cm) compared with retroperitoneal laparoscopic adrenalectomy (RLA). Methods Fifty-one patients who underwent adrenalectomy for large PHEOs between March 2016 and January 2019 were enrolled and divided into two groups, including 32 RLA cases and 19 RARLA cases. We compared the perioperative efficacy and long-term follow-up results between the two groups. Results Preoperative data, including demographics, comorbidities and tumour characteristics, were similar between the groups. Intraoperatively, the RARLA group had a lower incidence of haemodynamic instability (26.3% vs. 56.2%, P = 0.038) and less intraoperative blood loss (100 ml vs. Two hundred milliliter, P = 0.042) than the RLA group. The groups showed no significant differences in operative time or transfusion rates. Postoperatively, the time to diet resumption, time to ambulation, time to drainage removal and postoperative hospital stay were shorter in the RARLA group than in the RLA group (1 d vs. 2 d, P = 0.027; 1 d vs. 2 d, P = 0.034; 3 d vs. 5 d, P = 0.002; 5 d vs. 6 d, P = 0.02, respectively). The groups exhibited no significant differences in the duration of anaesthetic use, complications, or long-term follow-up results for the blood pressure (BP) improvement rate. Conclusions Compared with RLA, RARLA is a safe, feasible and even optimized procedure for large PHEOs.

scholarly journals Laparoscopic adrenalectomy for pheochromocytoma-does size matter? A single surgeon comparative study

2016 ◽  
Vol 5 (5) ◽  
pp. 780-783 ◽  
Author(s):  
Niren Rao ◽  
Rashmi Ramachandran ◽  
Nikhil Tandon ◽  
Prabhjot Singh ◽  
Rajeev Kumar
Keyword(s):  
Comparative Study ◽  
Laparoscopic Adrenalectomy ◽  
Size Matter

Robot-Assisted Versus Laparoscopic Adrenalectomy: A Systematic Review and Meta-analysis

2015 ◽  
Vol 25 (3) ◽  
pp. 187-195 ◽  
Author(s):  
Kun Tang ◽  
Heng Li ◽  
Ding Xia ◽  
Gan Yu ◽  
Xiaolin Guo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Laparoscopic Adrenalectomy ◽  
Meta Analysis ◽  
Robot Assisted

Effect of Prostate Gland Size on the Learning Curve for Robot-Assisted Laparoscopic Radical Prostatectomy: Does Size Matter Initially?

2010 ◽  
Vol 24 (2) ◽  
pp. 261-266 ◽  
Author(s):  
Carlos H. Martínez ◽  
Venu Chalasani ◽  
Darwin Lim ◽  
Linda Nott ◽  
Reem J. Al-Bareeq ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Gland Size ◽  
Size Matter

scholarly journals Robot-Assisted Laparoscopic Hysterectomy for Benign Indication: Does Uterine Size Matter?

2010 ◽  
Vol 17 (6) ◽  
pp. S25
Author(s):  
N. Smorgick-Rosenbaum ◽  
K. Patzkowsky ◽  
S. Hassouneh ◽  
A. Song ◽  
A. Advincula ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Robot Assisted ◽  
Size Matter

Robot-assisted laparoscopic adrenalectomy: preliminary UK results

2004 ◽  
Vol 93 (3) ◽  
pp. 357-359 ◽  
Author(s):  
S. Undre ◽  
Y. Munz ◽  
K. Moorthy ◽  
S. Martin ◽  
T. Rockall ◽  
...  
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Robot Assisted

Comparison of robot-assisted laparoscopic adrenalectomy with traditional laparoscopic adrenalectomy - 1 year follow-up

2007 ◽  
Vol 22 (2) ◽  
pp. 463-466 ◽  
Author(s):  
Jungle Chi-Hsiang Wu ◽  
Hurng-Sheng Wu ◽  
Mao-Sheng Lin ◽  
Dev-Aur Chou ◽  
Min-Ho Huang
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Robot Assisted
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