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Robotic transperitoneal adrenalectomy from inception to ingenuity: the perspective on two high volume endocrine surgery centers.

Authors
  • Ozdemir, Murat1
  • Dural, Ahmet Cem2
  • Sahbaz, Nuri Alper2
  • Akarsu, Cevher2
  • Uc, Can1
  • Sertoz, Berk1
  • Alis, Halil3
  • Makay, Ozer1
  • 1 Division of Endocrine Surgery, Department of Surgery, Ege University, Faculty of Medicine, Izmir, Turkey. , (Turkey)
  • 2 Department of Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Faculty of Medicine, Istanbul, Turkey. , (Turkey)
  • 3 Department of Surgery, VM Medical Park Hospital Florya, Istanbul Aydin University, Faculty of Medicine, Istanbul, Turkey. , (Turkey)
Type
Published Article
Journal
Gland surgery
Publication Date
Jun 01, 2020
Volume
9
Issue
3
Pages
815–825
Identifiers
DOI: 10.21037/gs.2020.02.21
PMID: 32775274
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

With increased utilization of robotic technology, robotic adrenalectomy (RA) became popular in certain high-volume centers as an alternative to conventional laparoscopic adrenalectomy (LA). The aim of the present study was to evaluate clinical and surgical outcomes of RA in two high-volume centers in Turkey. Between 2012 and 2019, consecutive patients who underwent robotic transperitoneal adrenalectomy in two referral centers for surgical endocrine diseases in Turkey were analyzed retrospectively. A total of 111 patients were analyzed. Mean diameter of the tumor in preoperative imaging was 38.6±2.0 mm. Total operation time was 135.4±47.9 min. The analysis of the learning curve period and the post-learning curve period in both centers demonstrated that the total surgery time decreased from 152.68±48.6 to 118.8±37.1 min, and the console time decreased from 113.2±38.9 to 81.6±35.1 min (P<0.0001). In 8 patients, complications arose during the surgery and postoperative complications were observed in 10 patients. Intraoperative complication rate was 28% in patients with a tumor diameter of greater than 50 mm (P<0.0001). There was no mortality. Our study demonstrated that RA is a safe and effective procedure with low-morbidity and without mortality in high number of cases. 2020 Gland Surgery. All rights reserved.

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