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Robotic single-site adrenalectomy.

Grace S Lee1, Arman Arghami1, Benzon M Dy1

  • 1Department of Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Surgical Endoscopy
|October 22, 2015
PubMed
Summary
This summary is machine-generated.

Robotic single-site adrenalectomy (RSS-A) is safe and effective for various adrenal tumors, even in obese patients. Surgeon experience shortens operative times without increasing complications, demonstrating a favorable learning curve for this advanced procedure.

Keywords:
AdrenalectomyLaparoscopicRoboticSingle portSingle site

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Adrenal Gland Surgery

Background:

  • Robotic single-site (RSS) surgery has advanced minimally invasive procedures.
  • Application of RSS to adrenalectomy requires evaluation of surgeon learning curve and patient outcomes.

Purpose of the Study:

  • To assess the feasibility and outcomes of robotic single-site adrenalectomy (RSS-A).
  • To evaluate the surgeon learning curve and its impact on operative times and complications.

Main Methods:

  • Retrospective analysis of 33 patients undergoing RSS-A by a single surgeon.
  • Assessment of patient demographics, surgical indications, operative times, length of stay, pain, and complications.
  • Analysis of the learning curve based on operative times across quartiles of cases.

Main Results:

  • 38 adrenal glands were removed in 33 patients; 7 conversions to laparoscopic or open surgery occurred.
  • Successful unilateral RSS-A patients had a mean operative time of 118 minutes, with low postoperative pain.
  • Discharge occurred on POD 1 (74%) or POD 2 (96%).
  • Operative times decreased significantly after 21 cases, indicating a learning curve effect.

Conclusions:

  • Robotic single-site adrenalectomy is safe for patients with functioning/non-functioning tumors and obesity.
  • The surgeon learning curve is associated with reduced operative times and no increase in complications.