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Single-port robot-assisted retroperitoneal surgery: A feasible approach
D Vazquez-Martul1, J L Ponce Diaz-Reixa1, A Barbagelata-Lopez1
1Servicio de Urología, Hospital Universitario de A Coruña, A Coruña, Spain.
Actas Urologicas Espanolas
|October 22, 2022
Summary
Single-port robot-assisted retroperitoneal surgery (SP-RARS) offers a minimally invasive approach for adrenal masses. This technique using the da Vinci Xi® system demonstrates feasibility with excellent patient outcomes.
Area of Science:
- Minimally invasive surgery
- Robotic surgery
- Retroperitoneal surgery
Background:
- Single-port surgery aims to reduce invasiveness.
- Retroperitoneal approaches offer patient benefits.
- Robotic systems enhance surgical precision.
Observation:
- Two adrenal masses (>4 cm) treated with single-port robot-assisted retroperitoneal surgery (SP-RARS) using da Vinci Xi®.
- Both procedures performed via a single 4-cm subcostal incision.
- No accessory incisions or drainage tubes required.
Findings:
- Console times: 75 and 150 minutes.
- Access/docking times under 30 minutes.
- Blood loss < 100 cc, no postoperative analgesia needed (VAS 0), and hospital stay < 24 hours.
- No reported complications.
Implications:
- SP-RARS is a feasible and safe approach for adrenal masses.
- This technique minimizes patient trauma and hospital stay.
- Potential for broader application in retroperitoneal procedures.
