Undre S, Munz Y, Moorthy K, Martin S, Rockall T, Vale J, Darzi A
Department of Surgical Oncology and Technology, Imperial College, London, UK.
BJU Int. 2004 Feb;93(3):357-9. doi: 10.1111/j.1464-410x.2003.04616.x.
To describe the results of our first two cases of laparoscopic adrenalectomy using the da Vinci surgical system (Intuitive Surgical, Inc., Mountain View, CA, USA).
Amongst 75 robot-assisted procedures performed at our institution, two patients underwent robot-assisted laparoscopic adrenalectomy. The set-up time, procedure time, hospital stay, complications and outcomes were recorded.
Both operations were completed successfully using the robot; the mean (range) set-up time was 31 (25-37) min and mean procedure time 118.5 (107-130) min. One patient had a postoperative pulmonary embolus and was discharged 5 days after surgery; the second patient was discharged after 3 days. There were no intraoperative complications; both patients were well at the 1-year follow-up.
Robot-assisted laparoscopic adrenalectomy is technically feasible and can be conducted efficiently and safely with the da Vinci surgical system.
描述我们使用达芬奇手术系统（直观外科公司，美国加利福尼亚州山景城）进行的前两例腹腔镜肾上腺切除术的结果。
在我们机构进行的75例机器人辅助手术中，两名患者接受了机器人辅助腹腔镜肾上腺切除术。记录了设置时间、手术时间、住院时间、并发症及结果。
两台手术均使用机器人成功完成；平均（范围）设置时间为31（25 - 37）分钟，平均手术时间为118.5（107 - 130）分钟。一名患者术后发生肺栓塞，术后5天出院；第二名患者术后3天出院。术中无并发症；两名患者在1年随访时情况良好。
机器人辅助腹腔镜肾上腺切除术在技术上是可行的，使用达芬奇手术系统可以高效、安全地进行。
