Desai Mihir M, Gill Inderbir S, Kaouk Jihad H, Matin Surena F, Sung Gyung Tak, Bravo Emmanuel L
Section of Laparoscopic and Minimally Invasive Surgery, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Urology. 2002 Dec;60(6):1104-7. doi: 10.1016/s0090-4295(02)02011-3.
Remote robotic telemanipulators have been recently used in performing laparoscopic urologic procedures, both in the laboratory and in clinical practice. We present, to our knowledge, the initial 2 cases of robotic-assisted laparoscopic adrenalectomy in humans.
Robotic-assisted laparoscopic adrenalectomy (one right, one left) was performed in 2 patients with an adrenal tumor (one nonfunctional, one pheochromocytoma). Patient age was 81 and 47 years, and tumor size was 4.5 and 3 cm, respectively. Both cases were performed transperitoneally using the da Vinci Robotic Surgical System. Robotic-assisted laparoscopic adrenalectomy was successful in both cases without conversion to conventional laparoscopy or open surgery. The operative time was 110 and 165 minutes, the blood loss was 50 and 100 mL, and the hospital stay was 2 and 3 days. No intraoperative or postoperative complications occurred.
Robotic-assisted laparoscopic adrenalectomy is technically feasible. With increasing experience and refinement in the technology, the role of robotics in urologic laparoscopy is likely to expand.
远程机器人手术操作器最近已被用于在实验室和临床实践中进行腹腔镜泌尿外科手术。据我们所知，我们介绍了人类首例2例机器人辅助腹腔镜肾上腺切除术。
对2例肾上腺肿瘤患者（1例无功能腺瘤，1例嗜铬细胞瘤）进行了机器人辅助腹腔镜肾上腺切除术（1例右侧，1例左侧）。患者年龄分别为81岁和47岁，肿瘤大小分别为4.5 cm和3 cm。两例均经腹腔使用达芬奇机器人手术系统进行。两例机器人辅助腹腔镜肾上腺切除术均成功，未转为传统腹腔镜手术或开放手术。手术时间分别为110分钟和165分钟，出血量分别为50 mL和100 mL，住院时间分别为2天和3天。未发生术中或术后并发症。
机器人辅助腹腔镜肾上腺切除术在技术上是可行的。随着经验的增加和技术的完善，机器人技术在泌尿外科腹腔镜手术中的作用可能会扩大。
