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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Robot-assisted posterior retroperitoneoscopic adrenalectomy.

Aaron T Ludwig1, Kristofer R Wagner, Patrick S Lowry

  • 1Division of Urology, Department of Surgery, Scott and White Memorial Clinic and Hospital, Texas A&M University System Health Science Center College of Medicine, Temple, Texas 76503, USA.

Journal of Endourology
|May 21, 2010
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Summary

Robot-assisted posterior adrenalectomy (RAPRA) is a feasible minimally invasive surgical approach for adrenal neoplasms, demonstrating good patient outcomes with no reported morbidity or mortality in early studies.

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Area of Science:

  • Minimally invasive surgery
  • Surgical oncology
  • Robotic surgery

Background:

  • Minimally invasive adrenalectomy is standard for small, benign adrenal neoplasms.
  • Posterior retroperitoneoscopic adrenalectomy offers potential surgical benefits.
  • Robot-assisted posterior adrenalectomy has not been previously reported.

Purpose of the Study:

  • To investigate the feasibility of robot-assisted posterior adrenalectomy (RAPRA).
  • To evaluate early patient outcomes for RAPRA.

Main Methods:

  • Six patients underwent RAPRA between June 2009 and January 2010.
  • Exclusion criteria included adrenal masses >7.0 cm or BMI >40.
  • Prospective collection of patient demographics, operative data, and outcomes.

Main Results:

  • Mean operative time was 121 minutes; mean robot time was 57 minutes.
  • Five women and one man (mean age 55.5 years, mean BMI 30) were included.
  • No morbidity or mortality was observed.

Conclusions:

  • This study is the first report of robot-assisted posterior adrenalectomy (RAPRA).
  • RAPRA is a feasible surgical approach.
  • The procedure demonstrated good patient outcomes.