Comparison of robotic adrenalectomy with traditional laparoscopic adrenalectomy with a lateral transperitoneal approach: A single-surgeon experience

Ji Young You, Hye Yoon Lee, Gil Soo Son, Jae Bok Lee, Jeoung Won Bae, Hoon Yub Kim

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: 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.

Original languageEnglish
Pages (from-to)345-350
Number of pages6
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume9
Issue number3
DOIs
Publication statusPublished - 2013 Sep 1

Fingerprint

Adrenalectomy
Robotics
Surgery
Aptitude
Surgeons
Intraoperative Complications
Tremor
Korea
Operative Time
Surgical Instruments
Robots
Length of Stay
Safety
Mortality

Keywords

  • Adrenalectomy
  • Lateral transperitoneal approach
  • Robot

ASJC Scopus subject areas

  • Computer Science Applications
  • Biophysics
  • Surgery

Cite this

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title = "Comparison of robotic adrenalectomy with traditional laparoscopic adrenalectomy with a lateral transperitoneal approach: A single-surgeon experience",
abstract = "Background: 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{\circledR} 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{\circledR} 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.",
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author = "You, {Ji Young} and Lee, {Hye Yoon} and Son, {Gil Soo} and Lee, {Jae Bok} and Bae, {Jeoung Won} and Kim, {Hoon Yub}",
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AU - Lee, Hye Yoon

AU - Son, Gil Soo

AU - Lee, Jae Bok

AU - Bae, Jeoung Won

AU - Kim, Hoon Yub

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N2 - Background: 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.

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