Related Experiment Video
Updated: Sep 19, 2025
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Robotic Submesocolic Left Adrenalectomy: The Evolution of Delbet Approach
Monica Ortenzi1, Andrea Santini1, Andrea Balla2
1Clinica di Chirurgia Generale e d'Urgenza, Università Politecnica delle Marche, Ancona, Italy.
Introduction:
The left adrenal gland is prone to being approached with several access points. This study presents a series of robotic submesocolic left adrenalectomies.
Materials And Methods:
Intraoperative and post-operative outcomes of robotic (RB) and laparoscopic (LP) submesocolic (SM) access to the adrenal gland were compared. Subsequently, these were compared to left adrenalectomy performed using the anterior approach (AT).
Results:
Operative time was statistically longer in the LP group (p < 0.001). There was no statistical difference for postoperative complications. After the propensity matching, there was a correlation between the BMI and the onset of post-operative complications (OR = 1.01). The operative time was significantly longer in the AT group both overall (p = 0.023) and within the LP procedures (p < 0.001), but not in the RB procedures (p = 0.386). Length of stay was shorter in the SM group (p = 0.024).
Conclusions:
The RB SM approach to the left adrenal gland is a safe and feasible.
