Winter J M, Talamini M A, Stanfield C L, Chang D C, Hundt J D, Dackiw A P, Campbell K A, Schulick R D
Department of Surgery, Johns Hopkins Medical Institutions, CRB 442, Baltimore, MD 21231, USA.
Surg Endosc. 2006 Jan;20(1):119-24. doi: 10.1007/s00464-005-0082-0. Epub 2005 Dec 7.
Robotic adrenalectomy is a minimally invasive alternative to traditional laparoscopic adrenalectomy. To date, only case reports and small series of robotic adrenalectomies have been reported. This study presents a single institution's series of 30 robotic adrenalectomies, and evaluates the procedure's safety, efficacy, and cost.
Thirty patients underwent robotic adrenalectomy at the Johns Hopkins Hospital between April 2001 and January 2004. Patient morbidity, hospital length of stay, operative time, and conversion rate to traditional laparoscopic or open surgery are presented. Improvement in operative time with surgeon experience is evaluated. Hospital charges are compared to charges for traditional laparoscopic and open adrenalectomies performed during the same time period.
Median operative time was 185 min. Patient morbidity was 7%. There were no conversions to traditional laparoscopic or open surgery. The median hospital stay was 2 days. Operative time improved significantly by 3 min with each operation. Hospital charges for robotic adrenalectomy (12,977 dollars) were not significantly different than charges for traditional laparoscopic (11,599 dollars) or open adrenalectomy (14,600 dollars).
Robotic adrenalectomy is a safe and effective alternative to traditional laparoscopic adrenalectomy.
机器人肾上腺切除术是传统腹腔镜肾上腺切除术的一种微创替代方法。迄今为止，仅有病例报告和少量机器人肾上腺切除术系列报道。本研究展示了单一机构的30例机器人肾上腺切除术病例系列，并评估了该手术的安全性、有效性和成本。
2001年4月至2004年1月期间，30例患者在约翰霍普金斯医院接受了机器人肾上腺切除术。报告了患者的发病率、住院时间、手术时间以及转为传统腹腔镜手术或开放手术的转化率。评估了随着外科医生经验增加手术时间的改善情况。将住院费用与同期进行的传统腹腔镜和开放肾上腺切除术的费用进行比较。
中位手术时间为185分钟。患者发病率为7%。没有转为传统腹腔镜手术或开放手术的情况。中位住院时间为2天。每进行一台手术，手术时间显著缩短3分钟。机器人肾上腺切除术的住院费用（12,977美元）与传统腹腔镜肾上腺切除术（11,599美元）或开放肾上腺切除术（14,600美元）的费用没有显著差异。
机器人肾上腺切除术是传统腹腔镜肾上腺切除术的一种安全有效的替代方法。
