{Reference Type}: Journal Article
{Title}: Robot assisted laparoscopic adrenalectomy: Should this be the new standard?
{Author}: Selvaraj N;Pooleri GK;Addla SK;Raghavan D;Govindaswamy TG;Balakrishnan AK;Sivaraman A;Jain N;Kandasamy SG;Ragavan N;Selvaraj N;Pooleri GK;Addla SK;Raghavan D;Govindaswamy TG;Balakrishnan AK;Sivaraman A;Jain N;Kandasamy SG;Ragavan N;
{Journal}: Urologia
{Volume}: 89
{Issue}: 3
{Year}: Aug 2022
暂无{DOI}: 10.1177/03915603221097166
{Abstract}: <B>UNASSIGNED: </B>Minimal invasive surgeries (MIS) for large size adrenal tumors are still debatable. The objective is to evaluate the contemporary peri- and post-operative outcomes of patients undergoing (open = OA, laparoscopic = LA, and robotic = RA) adrenalectomies in three institutions.<BR><B>UNASSIGNED: </B>Retrospectively gathered peri- and post-operative data of 235 patients, underwent adrenalectomy at three Institutions over a 7-year period (2013-2020) were analyzed. All patients underwent thorough radiological and endocrine workup.<BR><B>UNASSIGNED: </B>Two hundred and thirty five patients who underwent adrenalectomy (OA (n = 29), LA (n = 146), and RA (n = 60)) were assessed. OA (n = 29) versus Minimally invasive surgery (n = 206) showed significant differences (median, p value) in larger tumour size, cm (9.4 vs 5, (p = 0.0001)), longer operative time, mins (240 vs 100, (p = 0.0001)), longer hospital stay, days (8 vs 3,(p = .0001)), Higher readmission rates (14% vs 1.9%), higher blood loss, ml (400 vs 100, (p = 0.0001)) requiring blood transfusion (14% vs 4.3%) (p = 0.03), higher intraoperative complication (21% vs 6%) (p = 0.0004), and post op complications (17% vs 5.3%) (p = 0.01). Amongst the MIS (RA vs LA), RA appeared be have better outcomes in terms of shorter operative time, less blood loss and less intra operative complications with a p value <0.05. These results were consistent for the assessment of patients who had ⩾6 cm tumor size. The postoperative complication rates were lowest with RA (3.3%) compared to OA (17%) and LA (6.1%).<BR><B>UNASSIGNED: </B>Contemporary practice of adrenalectomy shows that robotic adrenalectomy is safe and effective irrespective of the tumor size.