Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Ann Surg Oncol. 2022 May;29(5):3085-3092. doi: 10.1245/s10434-021-11208-2. Epub 2022 Jan 7.
Laparoscopic adrenalectomy is the gold standard for adrenal tumor; however, robotic adrenal surgery has gained interest recently. For minimally invasive surgeries, we first reported on robotic adrenalectomy using a single-port access performed using the da Vinci multi-arm robotic system (RA-SA) in 2011. Since its introduction in 2018, we first performed robotic adrenalectomy using the da Vinci SP robotic system in 2020.
We aimed to introduce the novel single-port robotic system (RA-SP) for adrenalectomy and evaluate its technical feasibility by comparing it with the surgical outcomes of patients who underwent robotic adrenalectomy using the RA-SA.
Eight patients who underwent robotic adrenalectomy using the RA-SP from February 2020 to June 2021 were compared with 11 patients who underwent RA-SA from 2011 to 2015 by a single surgeon.
The two groups were similar in age, sex, body mass index, type of operation, and final pathologic diagnosis. Despite no significant differences, RA-SP resulted in moderately less mean operation time, estimated blood loss, and length of hospitalization.
The Da Vinci SP robotic system is a novel, safe, and feasible technique to improve the convenience of operation and cosmetic effect for adrenalectomy.
腹腔镜肾上腺切除术是肾上腺肿瘤的金标准；然而，机器人肾上腺手术最近引起了关注。对于微创手术，我们于 2011 年首次报道了使用达芬奇多臂机器人系统（RA-SA）进行单端口入路机器人肾上腺切除术。自 2018 年推出以来，我们于 2020 年首次使用达芬奇 SP 机器人系统进行了机器人肾上腺切除术。
我们旨在介绍新的单端口机器人系统（RA-SP）用于肾上腺切除术，并通过与使用 RA-SA 进行机器人肾上腺切除术的患者的手术结果进行比较，评估其技术可行性。
由同一位外科医生比较了 2020 年 2 月至 2021 年 6 月期间使用 RA-SP 进行机器人肾上腺切除术的 8 例患者和 2011 年至 2015 年期间使用 RA-SA 进行的 11 例患者。
两组在年龄、性别、体重指数、手术类型和最终病理诊断方面相似。尽管没有显著差异，但 RA-SP 导致平均手术时间、估计出血量和住院时间适度减少。
达芬奇 SP 机器人系统是一种新颖、安全且可行的技术，可以提高肾上腺切除术的操作便利性和美容效果。
