Flemming S, Wiegering A, Germer C-T, Reibetanz J
Klinik und Poliklinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Zentrum für Operative Medizin (ZOM), Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
Chirurgie (Heidelb). 2024 Oct;95(10):810-817. doi: 10.1007/s00104-024-02137-3. Epub 2024 Jul 22.
Laparoscopic adrenalectomy is worldwide currently considered the gold standard technique for patients suffering from benign lesions. There has been an increasing number of robotic-assisted adrenalectomies in the last decade due to the systematic further development of minimally invasive surgery resulting in the implementation of robot-assisted surgery. Interestingly, the available studies show some perioperative advantages for robotic surgery but overall the current evidence is weak and there are economic aspects that are not negligible. Therefore, further high-quality studies about robotic-assisted adrenalectomy are mandatory to strengthen the current evidence.
目前,腹腔镜肾上腺切除术在全球范围内被认为是治疗良性病变患者的金标准技术。在过去十年中,由于微创手术的系统性进一步发展导致机器人辅助手术的应用,机器人辅助肾上腺切除术的数量一直在增加。有趣的是,现有研究显示机器人手术在围手术期有一些优势,但总体而言,目前的证据薄弱,而且经济方面也不可忽视。因此,必须开展关于机器人辅助肾上腺切除术的进一步高质量研究,以加强现有证据。