Department of Surgery, Inha University Hospital, College of Medicine, Incheon 22332, Republic of Korea.
Medicina (Kaunas). 2022 Nov 29;58(12):1747. doi: 10.3390/medicina58121747.
Background and Objectives: Laparoscopic adrenalectomy (LA) is the standard surgical approach for adrenalectomy. At present, robotic adrenalectomy (RA) has been introduced at various hospitals. This study evaluated our initial experience with robotic adrenalectomy compared with conventional laparoscopic adrenalectomy. Materials and Methods: From October 2018 to March 2022, 56 adrenalectomies were performed by a single endocrine surgeon. Thirty-two patients underwent LA (LA group), and twenty-four patients underwent RA (RA group). Results: Patients in the RA group were significantly younger than those in the LA group (48.6 ± 9.7 years vs. 55.1 ± 11.4 years, p = 0.013). The RA group had a shorter operation time than the LA group (76.1 ± 28.2 min vs. 118.0 ± 54.3 min, p < 0.001). The length of hospital stay and postoperative pain level between the two groups were similar. There were no complications in the RA group. There was no significant difference in the pathologic diagnosis between the two groups. The cost of surgery was significantly higher in the RA group than in the LA group (5288.5 US dollars vs. 441.5 ± 136.8 US dollars, p < 0.001). Conclusions: In our initial experience, RA showed a shorter operation time than LA and no complications. RA could be a viable alternative surgical option for adrenalectomy, notwithstanding its higher cost.
腹腔镜肾上腺切除术（LA）是肾上腺切除术的标准手术方法。目前，机器人辅助肾上腺切除术（RA）已在多家医院开展。本研究评估了我们在机器人辅助肾上腺切除术方面的初步经验，并与传统腹腔镜肾上腺切除术进行了比较。
自 2018 年 10 月至 2022 年 3 月，由一名内分泌外科医生完成了 56 例肾上腺切除术。其中 32 例患者接受 LA（LA 组），24 例患者接受 RA（RA 组）。
RA 组患者明显比 LA 组年轻（48.6±9.7 岁 vs. 55.1±11.4 岁，p=0.013）。RA 组的手术时间明显短于 LA 组（76.1±28.2 分钟 vs. 118.0±54.3 分钟，p<0.001）。两组的住院时间和术后疼痛程度相似。RA 组无并发症。两组的病理诊断无显著差异。RA 组的手术费用明显高于 LA 组（5288.5 美元 vs. 441.5±136.8 美元，p<0.001）。
在我们的初步经验中，RA 组的手术时间短于 LA 组，且无并发症。尽管手术费用较高，但 RA 可能是一种可行的肾上腺切除术替代手术方法。
