PURPOSE OF REVIEW: We review the development of robotic adrenalectomy over the last decade, focusing on specific technical advances in the last 18 months. RECENT FINDINGS: The learning curve for robotic adrenalectomy, after which conversion rates and operative times significantly decrease, is more than 20 cases even in surgeons with extensive laparoscopic experience. Two new uses of the robot to extend traditional laparoscopic adrenalectomy have been highlighted in recent studies. Posterior retroperitoneoscopic adrenalectomy can be aided by robotic assistance, particularly in patients whose adrenal gland is located well superior to the 12th rib, on the anterior surface of the kidney, or in the renal hilum. Robotic assistance has also enabled cortical-sparing adrenalectomy which may obviate the need for steroid hormone replacement in patients with multiple or bilateral tumors. SUMMARY: Robot-assisted adrenalectomy can extend the capabilities of traditional laparoscopy, particularly in regard to performing posterior retroperitoneal and subtotal adrenalectomies.
PURPOSE OF REVIEW: We review the development of robotic adrenalectomy over the last decade, focusing on specific technical advances in the last 18 months. RECENT FINDINGS: The learning curve for robotic adrenalectomy, after which conversion rates and operative times significantly decrease, is more than 20 cases even in surgeons with extensive laparoscopic experience. Two new uses of the robot to extend traditional laparoscopic adrenalectomy have been highlighted in recent studies. Posterior retroperitoneoscopic adrenalectomy can be aided by robotic assistance, particularly in patients whose adrenal gland is located well superior to the 12th rib, on the anterior surface of the kidney, or in the renal hilum. Robotic assistance has also enabled cortical-sparing adrenalectomy which may obviate the need for steroid hormone replacement in patients with multiple or bilateral tumors. SUMMARY: Robot-assisted adrenalectomy can extend the capabilities of traditional laparoscopy, particularly in regard to performing posterior retroperitoneal and subtotal adrenalectomies.
Authors: Cevher Akarsu; Ahmet Cem Dural; Burak Kankaya; Muhammet Ferhat Çelik; Osman Köneş; Meral Mert; Mustafa Uygar Kalaycı; Halil Alış Journal: Ulus Cerrahi Derg Date: 2014-03-01
Authors: Amir Szold; Roberto Bergamaschi; Ivo Broeders; Jenny Dankelman; Antonello Forgione; Thomas Langø; Andreas Melzer; Yoav Mintz; Salvador Morales-Conde; Michael Rhodes; Richard Satava; Chung-Ngai Tang; Ramon Vilallonga Journal: Surg Endosc Date: 2014-11-08 Impact factor: 4.584
Authors: Andrew M Fang; Jennifer Rosen; Ava Saidian; Sejong Bae; Fabio Y Tanno; Jose L Chambo; Jonathan Bloom; Jennifer Gordetsky; Victor Srougi; John Phillips; Soroush Rais-Bahrami Journal: J Robot Surg Date: 2020-02-28