Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Chicago, IL 60612, USA.
Int J Med Robot. 2011 Mar;7(1):27-32. doi: 10.1002/rcs.364. Epub 2010 Nov 11.
The robotic approach is an interesting option for overcoming the limitations of laparoscopic adrenalectomy. We aimed to report our technique and outcomes of robot-assisted adrenalectomy (RAA).
From November 2000 to February 2010, all consecutive patients who underwent a RAA by the same surgeon were prospectively entered into a dedicated database. The data were reviewed retrospectively.
During the study period, 21 right (50%), 20 left (47.6%) and 1 bilateral (2.4%) RAA were performed. Mean lesion size was 5.5 cm (max. 10 cm). Mean operative time was 118 ± 46 min and median blood loss was 27 ml. There were no conversions. The postoperative morbidity rate was 2.4%; mortality rate, 2.4%; median hospital stay, 4 days.
RAA achieves good short-term outcomes and could be considered a valid option for the treatment of adrenal masses, with the potential to expand the limits of minimally invasive surgery.
机器人方法是克服腹腔镜肾上腺切除术局限性的一种有趣选择。我们旨在报告机器人辅助肾上腺切除术（RAA）的技术和结果。
从 2000 年 11 月至 2010 年 2 月，由同一位外科医生进行的所有连续 RAA 患者均前瞻性地进入专用数据库。回顾性地审查了数据。
在研究期间，进行了 21 例右侧（50％），20 例左侧（47.6％）和 1 例双侧（2.4％）RAA。平均病变大小为 5.5cm（最大 10cm）。平均手术时间为 118±46 分钟，中位出血量为 27ml。无转换。术后发病率为 2.4％；死亡率为 2.4％；中位住院时间为 4 天。
RAA 可获得良好的短期结果，并且可以被认为是治疗肾上腺肿块的有效选择，具有扩大微创手术范围的潜力。
