Robotic-assisted adrenalectomy: what advantages compared to lateral transperitoneal laparoscopic adrenalectomy? - 20/08/11
, Laurent Bresler, M.D., Ph.D. a, Ahmet Ayav, M.D., Ph.D. a, Rasa Zarnegar, M.D., Ph.D. b, Anne-Laure Raphoz, M.D. a, Than Levan, M.D. a, Georges Weryha, M.D., Ph.D. c, Patrick Boissel, M.D., Ph.D. a
Corresponding author. Tel.: +33-383153120; fax: +33-383153121.Abstract |
Background |
This study evaluates the perioperative outcomes of robotic-assisted adrenalectomy (RA) compared with lateral transperitoneal laparoscopic adrenalectomy (LA).
Methods |
Prospective evaluation of 50 patients who underwent unilateral RA versus 59 patients who underwent unilateral LA.
Results |
RA was associated with lower blood loss (49 mL) but longer operative times (104 minutes) (P <.001). However, the difference in operative time was not significant after the learning curve of 20 cases. In patients with body mass index (BMI) ≥30 kg/m2, mean operative time was longer in the LA group (90 vs 78 minutes, P = .03) but not in the RA group. In patients with large tumors (≥55 mm), mean operative time was longer in the LA group (100 vs 80 minutes, P = .009) but not in the RA group. Conversion rate, morbidity, and hospital stay were similar in both groups.
Conclusions |
After a learning curve of 20 cases, RA has similar perioperative outcomes compared to lateral transperitoneal LA. Several criteria (previous laparoscopic expertise, first assistant’s skill and tumor side) remain determinative on RA operative time.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Robotics, Adrenalectomy, Adrenal glands, Pheochromocytoma, Telerobotics, Laparoscopy
Mappa
Vol 195 - N° 4
P. 433-438 - aprile 2008 Ritorno al numero
Articolo precedente
- Differences in patient postoperative and long-term outcomes between obstructive and perforated colonic cancer
- Sebastiano Biondo, Esther Kreisler, Monica Millan, Domenico Fraccalvieri, Thomas Golda, Joan Martí Ragué, Ramon Salazar
- External validation of prognostic models among cancer patients undergoing emergency colorectal surgery
- Tamer Ertan, Omer Yoldas, Yusuf Alper Kılıc, Mehmet Kılıc, Erdal Göcmen, Mahmut Koc, Mesut Tez
Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.
Già abbonato a @@106933@@ rivista ?