机器人辅助肾上腺切除术：时机与方式？
Robotic adrenalectomy: when and how?
作者信息
Nomine-Criqui Claire, Demarquet Lea, Schweitzer Marie Laure, Klein Marc, Brunaud Laurent, Bihain Florence
机构信息
Unit of Metabolic, Endocrine, and Thyroid Surgery (UMET), Department of Visceral and Metabolic Surgery, Hospital Brabois Adultes, CHRU Nancy, University of Lorraine, Nancy, France.
Department of Endocrinology, Diabetology and Nutrition, CHU Nancy, University of Lorraine, Nancy, France.
出版信息
Gland Surg. 2020 Feb;9(Suppl 2):S166-S172. doi: 10.21037/gs.2019.12.11.
Abstract
Currently, laparoscopic adrenalectomy is considered as the preferred technique to manage adrenal tumors. However, there are no prospective randomized studies evaluating this strategy. With the recent advances in surgical equipment and the widespread of robotic technology, a robotic approach is considered as an interesting option in some medical centers. This approach seems to be feasible and safe but high-level evidence of its benefits is still lacking. This review summarizes indications, advantages and drawbacks of robotic adrenalectomy and describes its surgical technique.
摘要
目前，腹腔镜肾上腺切除术被认为是治疗肾上腺肿瘤的首选技术。然而，尚无前瞻性随机研究评估该策略。随着手术设备的最新进展和机器人技术的广泛应用，在一些医疗中心，机器人手术方法被视为一种有趣的选择。这种方法似乎可行且安全，但仍缺乏其益处的高级别证据。本综述总结了机器人肾上腺切除术的适应症、优缺点，并描述了其手术技术。
相似文献
1
Robotic adrenalectomy: when and how?机器人辅助肾上腺切除术：时机与方式？
Gland Surg. 2020 Feb;9(Suppl 2):S166-S172. doi: 10.21037/gs.2019.12.11.
2
Robot-assisted adrenalectomy: indications and drawbacks.机器人辅助肾上腺切除术：适应症与缺点
Updates Surg. 2017 Jun;69(2):127-133. doi: 10.1007/s13304-017-0448-6. Epub 2017 May 12.
3
Robotic lateral transabdominal adrenalectomy.机器人辅助经腹侧肾上腺切除术
J Surg Oncol. 2015 Sep;112(3):305-9. doi: 10.1002/jso.23960. Epub 2015 Jul 15.
4
Robotic assisted adrenalectomy: Surgical techniques, feasibility, indications, oncological outcome and safety.机器人辅助肾上腺切除术：手术技术、可行性、适应证、肿瘤学结局及安全性
Int J Surg. 2016 Apr;28:169-72. doi: 10.1016/j.ijsu.2016.02.089. Epub 2016 Feb 27.
5
The role of robotics for adrenal pathology.机器人技术在肾上腺疾病中的作用。
Curr Opin Urol. 2009 Jan;19(1):89-96. doi: 10.1097/MOU.0b013e32831b446c.
6
Robot-assisted laparoscopic adrenalectomy: step-by-step technique and comparative outcomes.机器人辅助腹腔镜肾上腺切除术：分步技术和对比结果。
Eur Urol. 2014 Nov;66(5):898-905. doi: 10.1016/j.eururo.2014.04.003. Epub 2014 May 13.
7
Robotic adrenalectomy: evaluation of cost-effectiveness.机器人辅助肾上腺切除术：成本效益评估
Gland Surg. 2020 Jun;9(3):831-839. doi: 10.21037/gs.2020.03.44.
8
Robotic adrenalectomy.机器人辅助肾上腺切除术
Gland Surg. 2019 Jul;8(Suppl 1):S10-S16. doi: 10.21037/gs.2019.01.09.
9
Robotic versus laparoscopic resection of large adrenal tumors.机器人与腹腔镜切除大型肾上腺肿瘤的比较。
Ann Surg Oncol. 2012 Jul;19(7):2288-94. doi: 10.1245/s10434-012-2296-4. Epub 2012 Mar 7.
10
Innovation in endocrine surgery: robotic versus laparoscopic adrenalectomy. Meta-analysis and systematic literature review.内分泌外科的创新：机器人辅助与腹腔镜肾上腺切除术。荟萃分析与系统文献综述。
Oncotarget. 2017 Oct 19;8(60):102392-102400. doi: 10.18632/oncotarget.22059. eCollection 2017 Nov 24.
引用本文的文献
1
A case of aberrant right adrenal vein anatomy.一例右肾上腺静脉解剖变异病例。
J Surg Case Rep. 2025 Jun 18;2025(6):rjaf401. doi: 10.1093/jscr/rjaf401. eCollection 2025 Jun.
2
Persistent hypokalemia due to Conn's syndrome resolved by robot-assisted laparoscopic adrenalectomy. A correct diagnostic approach for proper surgical therapy. Case report.通过机器人辅助腹腔镜肾上腺切除术治愈因原发性醛固酮增多症导致的持续性低钾血症。正确的诊断方法对恰当的手术治疗至关重要。病例报告。
J Surg Case Rep. 2025 Jun 27;2025(6):rjaf446. doi: 10.1093/jscr/rjaf446. eCollection 2025 Jun.
3
Laparoscopic adrenalectomy performed by a general surgeon on functioning adrenal tumors: Treatment outcomes and risk prediction of persistent hypertension.普通外科医生对功能性肾上腺肿瘤进行腹腔镜肾上腺切除术：治疗结果及持续性高血压的风险预测
Qatar Med J. 2024 Aug 8;2024(3):30. doi: 10.5339/qmj.2024.30. eCollection 2024.
4
[Robotic adrenalectomy-current evidence].[机器人辅助肾上腺切除术——当前证据]
Chirurgie (Heidelb). 2024 Oct;95(10):810-817. doi: 10.1007/s00104-024-02137-3. Epub 2024 Jul 22.
5
Biochemical implications of robotic surgery: a new frontier in the operating room.机器人手术的生化意义：手术室的新前沿。
J Robot Surg. 2024 Feb 24;18(1):91. doi: 10.1007/s11701-024-01861-6.
6
The effect of obesity in laparoscopic transperitoneal adrenalectomy.肥胖对腹腔镜经腹腔肾上腺切除术的影响。
Turk J Surg. 2021 Jun 30;37(2):126-132. doi: 10.47717/turkjsurg.2021.4901. eCollection 2021 Jun.
7
Comparative Analysis of Laparoscopic and Robotic Transperitoneal Adrenalectomy Performed at a Single Institution.单中心腹腔镜与机器人经腹腔肾上腺切除术的对比分析。
Medicina (Kaunas). 2022 Nov 29;58(12):1747. doi: 10.3390/medicina58121747.
8
Postoperative outcomes of minimally invasive adrenalectomy: do body mass index and tumor size matter? A single-center experience.微创肾上腺切除术的术后结果：体重指数和肿瘤大小重要吗？单中心经验。
BMC Surg. 2022 Jul 19;22(1):280. doi: 10.1186/s12893-022-01725-6.
9
Robotic Adrenalectomy: An Initial Experience in a Turkish Regional Hospital.机器人辅助肾上腺切除术：土耳其一家地区医院的初步经验。
Front Surg. 2022 Jun 29;9:847472. doi: 10.3389/fsurg.2022.847472. eCollection 2022.
10
Initial Experience of Robot-Assisted Adrenalectomy in Japan: What is the Optimal Selection of Robotic Forceps for Adrenalectomy?日本机器人辅助肾上腺切除术的初步经验：肾上腺切除术的机器人器械最佳选择是什么？
Yonago Acta Med. 2022 May 23;65(2):176-180. doi: 10.33160/yam.2022.05.008. eCollection 2022 May.
本文引用的文献
1
Robotic adrenalectomy.机器人辅助肾上腺切除术
Gland Surg. 2019 Jul;8(Suppl 1):S10-S16. doi: 10.21037/gs.2019.01.09.
2
Comparative Efficacy of Laparoscopic Versus Robotic Adrenalectomy for Adrenal Malignancy.
Urology. 2019 Jan;123:146-150. doi: 10.1016/j.urology.2018.08.037. Epub 2018 Sep 6.
3
Robotic-assisted unilateral adrenalectomy: risk factors for perioperative complications in 303 consecutive patients.机器人辅助单侧肾上腺切除术：303 例连续患者围手术期并发症的危险因素。
Surg Endosc. 2019 Mar;33(3):802-810. doi: 10.1007/s00464-018-6346-2. Epub 2018 Jul 11.
4
Laparoscopic versus robotic adrenalectomy: a review of the national inpatient sample.腹腔镜与机器人肾上腺切除术：国家住院患者样本回顾。
J Robot Surg. 2019 Feb;13(1):69-75. doi: 10.1007/s11701-018-0808-3. Epub 2018 Apr 25.
5
Operative technique: Transperitoneal robotic adrenalectomy.手术技术：经腹机器人肾上腺切除术
J Visc Surg. 2018 Feb;155(1):50-58. doi: 10.1016/j.jviscsurg.2017.11.001. Epub 2018 Feb 1.
6
A cost-conscious approach to robotic adrenalectomy.一种具有成本意识的机器人肾上腺切除术方法。
J Robot Surg. 2018 Dec;12(4):607-611. doi: 10.1007/s11701-018-0782-9. Epub 2018 Jan 31.
7
Comparison of posterior retroperitoneal and transabdominal lateral approaches in robotic adrenalectomy: an analysis of 200 cases.机器人辅助肾上腺切除术后腹膜后与经腹腔外侧入路的比较：200 例分析。
Surg Endosc. 2018 Apr;32(4):1984-1989. doi: 10.1007/s00464-017-5894-1. Epub 2017 Oct 19.
8
Evaluation of Open and Minimally Invasive Adrenalectomy: A Systematic Review and Network Meta-analysis.开放性与微创性肾上腺切除术的评估：一项系统评价与网状Meta分析
World J Surg. 2017 Nov;41(11):2746-2757. doi: 10.1007/s00268-017-4095-3.
9
Laparoscopic versus robotic adrenalectomy: A comprehensive meta-analysis.腹腔镜与机器人肾上腺切除术：一项全面的荟萃分析。
Int J Surg. 2017 Feb;38:95-104. doi: 10.1016/j.ijsu.2016.12.118. Epub 2016 Dec 30.
10
Robotic assisted adrenalectomy: Is it ready for prime time?机器人辅助肾上腺切除术：它准备好进入黄金时代了吗？
Investig Clin Urol. 2016 Dec;57(Suppl 2):S130-S146. doi: 10.4111/icu.2016.57.S2.S130. Epub 2016 Nov 30.
Zotero 插件