Robotic-assisted laparoscopic resection for adrenal malignancies:experience sharing and literature review
Guan Wei
Yang Jun
Wang Shaogang
Abstract：Objective:To summarize the experience of robotic-assisted laparoscopic resection and to evaluate its value in the operation of adrenal malignancies.Methods:The clinical data of 9 patients with preoperatively diag-nosed adrenal malignancy and receiving robotic-assisted laparoscopic surgery between February 2015 and August 2016 were analyzed.Results:All the operations were successfully performed without conversion.Tumors were lo-cated on the left side in 6 cases,and on the right side in 3 cases.The average diameter of the tumors was 7.1 cm (ranging from 3.1 to 1 5.5 cm).There were 4 cases of adrenal cortical carcinoma,3 cases of malignant pheochro-mocytoma,and 2 cases of adrenal metastases.The average operative time was 85 (range,30-210)min.Average estimated blood loss was 270 (range,50-1 100)mL.Two patients with adrenal cortical carcinoma required intrao-perative blood transfusion.Average postoperative hospital stay was 8.5 (range,5-12)days.All patients were fol-lowed up for 3-1 1 months.One patient with adrenal cortical carcinoma got local recurrence after 6 months,and the rest 8 cases had no signs of tumor recurrence during the follow-up period.Conclusions:Robotic-assisted laparo-scopic resection of adrenal malignancies is technically feasible,and the advantages of field of view and flexibility of robotic arms may improve the outcome of surgery.However,long-term follow-up data are needed to confirm the efficacy of tumor control.
Keywords：robotlaparoscopyadrenal malignancy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 39-42 )