Pahwa Mrinal
Department of Urology and Renal Transplant, GRIPMER, Sir Ganga Ram Hospital, New Delhi, India,
Robot Surg. 2017 Jan 5;4:1-6. doi: 10.2147/RSRR.S100887. eCollection 2017.
Laparoscopy has established itself as the procedure of choice for performing adrenalectomy in benign adrenal disorders. Although laparoscopy scores heavily over open approach in terms of lesser blood loss, pain, shorter hospital stay and better cosmesis, it is riddled with certain shortcomings such as the need of dexterity, two-dimensional vision, dependence on an assistant for camera, etc. Robotic surgery promises to overcome these limitations. Multiple series have established that robotic adrenalectomy is a safe and effective procedure as conventional laparoscopy. Recently, robotic surgery has been found to be precise and accurate in performing partial adrenalectomy in hereditary adrenal syndrome cases. Other advances like single-port surgery have expanded the horizon and indications of robotic surgery. This review aims at studying the current evidence available for the effectiveness of robot-assisted adrenalectomy and defining its current status in managing adrenal disorders.
腹腔镜检查已成为良性肾上腺疾病肾上腺切除术的首选手术方式。尽管腹腔镜手术在减少失血、疼痛、缩短住院时间和更好的美容效果方面比开放手术有很大优势，但它也存在一些缺点，如需要操作灵活性、二维视野、依赖助手操控摄像头等。机器人手术有望克服这些局限性。多个系列研究已证实，机器人肾上腺切除术与传统腹腔镜手术一样是一种安全有效的手术。最近发现，机器人手术在遗传性肾上腺综合征病例中进行部分肾上腺切除术时精确性高。单孔手术等其他进展扩大了机器人手术的视野和适应证。本综述旨在研究目前关于机器人辅助肾上腺切除术有效性的现有证据，并确定其在肾上腺疾病治疗中的现状。
