The early results of our initial experience with robotic adrenalectomy
Identifieur interne : 000890 ( Pmc/Checkpoint ); précédent : 000889; suivant : 000891The early results of our initial experience with robotic adrenalectomy
Auteurs : Cevher Akarsu [Turquie] ; Ahmet Cem Dural [Turquie] ; Burak Kankaya [Turquie] ; Muhammet Ferhat Çelik [Turquie] ; Osman Köne [Turquie] ; Meral Mert [Turquie] ; Mustafa Uygar Kalayc [Turquie] ; Halil Al [Turquie]Source :
- Turkish Journal of Surgery/Ulusal cerrahi dergisi [ 1300-0705 ] ; 2014.
Abstract
Robotic adrenalectomy is one of the minimally invasive surgical methods gaining wide acceptance due to the three-dimensional imaging system and ergonomics of the equipment. We aimed to present the early data on patients who underwent robotic adrenalectomy due to adrenal masses in our hospital.
The records of eight cases, in which a unilateral robotic trans-peritoneal adrenalectomy was conducted due to an adrenal mass between 2011 and 2013, have been evaluated. Demographic characteristics of cases, body mass index (BMI), American Society of Anesthesiologists (ASA) score, preoperative diagnosis, diameter and localization of the adrenal mass, operative time, blood loss, conversion rate to open surgery, morbidity and mortality rates, length of hospital stay, total hospital charges and postoperative pathologic results were considered.
The female to male ratio was 6:2, the median age was 49.5 (26–71) and the median BMI was 29.7 (21.7–38.5). An adrenalectomy was performed in six cases for a right adrenal mass and in two cases for a left adrenal mass. The mean tumor diameter was 53.6 mm (20–90). The average surgical time (including docking) was 98 min. (55–175 min.) and the average blood loss was 50 mL. The only complication was a diaphragm injury which was repaired robotically. There were no conversions to traditional laparoscopic or open surgery and there have not been any mortality in the series. The median length of hospital stay was 4.1 days (range 2–11) and the average cost was 3617.12 TL ($1808.56).
Robotic adrenalectomy is an effective and safe surgical alternative to laparoscopic adrenalectomy. However its high cost has emerged as its main disadvantage.
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DOI: 10.5152/UCD.2014.2518
PubMed: 25931887
PubMed Central: 4379778
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xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kankaya, Burak" sort="Kankaya, Burak" uniqKey="Kankaya B" first="Burak" last="Kankaya">Burak Kankaya</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Celik, Muhammet Ferhat" sort="Celik, Muhammet Ferhat" uniqKey="Celik M" first="Muhammet Ferhat" last="Çelik">Muhammet Ferhat Çelik</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kone, Osman" sort="Kone, Osman" uniqKey="Kone O" first="Osman" last="Köne">Osman Köne</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Mert, Meral" sort="Mert, Meral" uniqKey="Mert M" first="Meral" last="Mert">Meral Mert</name><affiliation wicri:level="1"><nlm:aff id="af2-ucd-30-1-28">Department of Internal Medicine, Division of Endocrinology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Internal Medicine, Division of Endocrinology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kalayc, Mustafa Uygar" sort="Kalayc, Mustafa Uygar" uniqKey="Kalayc M" first="Mustafa Uygar" last="Kalayc">Mustafa Uygar Kalayc</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, 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type="wicri:Area/Pmc/Curation">001585</idno><idno type="wicri:Area/Pmc/Checkpoint">000890</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The early results of our initial experience with robotic adrenalectomy</title><author><name sortKey="Akarsu, Cevher" sort="Akarsu, Cevher" uniqKey="Akarsu C" first="Cevher" last="Akarsu">Cevher Akarsu</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Dural, Ahmet Cem" sort="Dural, Ahmet Cem" uniqKey="Dural A" first="Ahmet Cem" last="Dural">Ahmet Cem Dural</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kankaya, Burak" sort="Kankaya, Burak" uniqKey="Kankaya B" first="Burak" last="Kankaya">Burak Kankaya</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Celik, Muhammet Ferhat" sort="Celik, Muhammet Ferhat" uniqKey="Celik M" first="Muhammet Ferhat" last="Çelik">Muhammet Ferhat Çelik</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kone, Osman" sort="Kone, Osman" uniqKey="Kone O" first="Osman" last="Köne">Osman Köne</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Mert, Meral" sort="Mert, Meral" uniqKey="Mert M" first="Meral" last="Mert">Meral Mert</name><affiliation wicri:level="1"><nlm:aff id="af2-ucd-30-1-28">Department of Internal Medicine, Division of Endocrinology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Internal Medicine, Division of Endocrinology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kalayc, Mustafa Uygar" sort="Kalayc, Mustafa Uygar" uniqKey="Kalayc M" first="Mustafa Uygar" last="Kalayc">Mustafa Uygar Kalayc</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author><author><name sortKey="Al, Halil" sort="Al, Halil" uniqKey="Al H" first="Halil" last="Al">Halil Al</name><affiliation wicri:level="1"><nlm:aff id="af1-ucd-30-1-28">Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul</wicri:regionArea><wicri:noRegion>İstanbul</wicri:noRegion></affiliation></author></analytic><series><title level="j">Turkish Journal of Surgery/Ulusal cerrahi dergisi</title><idno type="ISSN">1300-0705</idno><idno type="eISSN">1308-8521</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective:</title><p>Robotic adrenalectomy is one of the minimally invasive surgical methods gaining wide acceptance due to the three-dimensional imaging system and ergonomics of the equipment. We aimed to present the early data on patients who underwent robotic adrenalectomy due to adrenal masses in our hospital.</p></sec><sec><title>Material and Methods:</title><p>The records of eight cases, in which a unilateral robotic trans-peritoneal adrenalectomy was conducted due to an adrenal mass between 2011 and 2013, have been evaluated. Demographic characteristics of cases, body mass index (BMI), American Society of Anesthesiologists (ASA) score, preoperative diagnosis, diameter and localization of the adrenal mass, operative time, blood loss, conversion rate to open surgery, morbidity and mortality rates, length of hospital stay, total hospital charges and postoperative pathologic results were considered.</p></sec><sec><title>Results:</title><p>The female to male ratio was 6:2, the median age was 49.5 (26–71) and the median BMI was 29.7 (21.7–38.5). An adrenalectomy was performed in six cases for a right adrenal mass and in two cases for a left adrenal mass. The mean tumor diameter was 53.6 mm (20–90). The average surgical time (including docking) was 98 min. (55–175 min.) and the average blood loss was 50 mL. The only complication was a diaphragm injury which was repaired robotically. There were no conversions to traditional laparoscopic or open surgery and there have not been any mortality in the series. The median length of hospital stay was 4.1 days (range 2–11) and the average cost was 3617.12 TL ($1808.56).</p></sec><sec><title>Conclusion:</title><p>Robotic adrenalectomy is an effective and safe surgical alternative to laparoscopic adrenalectomy. However its high cost has emerged as its main disadvantage.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ulus Cerrahi Derg</journal-id><journal-id journal-id-type="iso-abbrev">Ulus Cerrahi Derg</journal-id><journal-id journal-id-type="publisher-id">UCD</journal-id><journal-title-group><journal-title>Turkish Journal of Surgery/Ulusal cerrahi dergisi</journal-title></journal-title-group><issn pub-type="ppub">1300-0705</issn><issn pub-type="epub">1308-8521</issn><publisher><publisher-name>Turkish Journal of Surgery</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25931887</article-id><article-id pub-id-type="pmc">4379778</article-id><article-id pub-id-type="doi">10.5152/UCD.2014.2518</article-id><article-id pub-id-type="publisher-id">ucd-30-1-28</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Investigation</subject></subj-group></article-categories><title-group><article-title>The early results of our initial experience with robotic adrenalectomy</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Akarsu</surname><given-names>Cevher</given-names></name><xref ref-type="aff" rid="af1-ucd-30-1-28"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Dural</surname><given-names>Ahmet Cem</given-names></name><xref ref-type="aff" rid="af1-ucd-30-1-28"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-ucd-30-1-28"></xref></contrib><contrib contrib-type="author"><name><surname>Kankaya</surname><given-names>Burak</given-names></name><xref ref-type="aff" rid="af1-ucd-30-1-28"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Çelik</surname><given-names>Muhammet Ferhat</given-names></name><xref ref-type="aff" rid="af1-ucd-30-1-28"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Köneş</surname><given-names>Osman</given-names></name><xref ref-type="aff" rid="af1-ucd-30-1-28"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mert</surname><given-names>Meral</given-names></name><xref ref-type="aff" rid="af2-ucd-30-1-28"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kalaycı</surname><given-names>Mustafa Uygar</given-names></name><xref ref-type="aff" rid="af1-ucd-30-1-28"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Alış</surname><given-names>Halil</given-names></name><xref ref-type="aff" rid="af1-ucd-30-1-28"><sup>1</sup></xref></contrib></contrib-group><aff id="af1-ucd-30-1-28"><label>1</label>Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</aff><aff id="af2-ucd-30-1-28"><label>2</label>Department of Internal Medicine, Division of Endocrinology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey</aff><author-notes><corresp id="c1-ucd-30-1-28">Address for Correspondence: <bold>Dr. Ahmet Cem Dural</bold>, Department of General Surgery, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey, Phone: +90 212 414 71 59, e-mail: <email>cemdural@hotmail.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>1</day><month>3</month><year>2014</year></pub-date><volume>30</volume><issue>1</issue><fpage>28</fpage><lpage>33</lpage><history><date date-type="received"><day>12</day><month>7</month><year>2013</year></date><date date-type="accepted"><day>08</day><month>12</month><year>2013</year></date></history><permissions><copyright-statement>©Copyright 2014 by the Turkish Surgical Association</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><sec><title>Objective:</title><p>Robotic adrenalectomy is one of the minimally invasive surgical methods gaining wide acceptance due to the three-dimensional imaging system and ergonomics of the equipment. We aimed to present the early data on patients who underwent robotic adrenalectomy due to adrenal masses in our hospital.</p></sec><sec><title>Material and Methods:</title><p>The records of eight cases, in which a unilateral robotic trans-peritoneal adrenalectomy was conducted due to an adrenal mass between 2011 and 2013, have been evaluated. Demographic characteristics of cases, body mass index (BMI), American Society of Anesthesiologists (ASA) score, preoperative diagnosis, diameter and localization of the adrenal mass, operative time, blood loss, conversion rate to open surgery, morbidity and mortality rates, length of hospital stay, total hospital charges and postoperative pathologic results were considered.</p></sec><sec><title>Results:</title><p>The female to male ratio was 6:2, the median age was 49.5 (26–71) and the median BMI was 29.7 (21.7–38.5). An adrenalectomy was performed in six cases for a right adrenal mass and in two cases for a left adrenal mass. The mean tumor diameter was 53.6 mm (20–90). The average surgical time (including docking) was 98 min. (55–175 min.) and the average blood loss was 50 mL. The only complication was a diaphragm injury which was repaired robotically. There were no conversions to traditional laparoscopic or open surgery and there have not been any mortality in the series. The median length of hospital stay was 4.1 days (range 2–11) and the average cost was 3617.12 TL ($1808.56).</p></sec><sec><title>Conclusion:</title><p>Robotic adrenalectomy is an effective and safe surgical alternative to laparoscopic adrenalectomy. However its high cost has emerged as its main disadvantage.</p></sec></abstract><kwd-group><kwd>Robotic adrenalectomy</kwd><kwd>minimally invasive surgery</kwd><kwd>laparoscopy</kwd><kwd>adrenal neoplasm</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Turquie</li></country></list><tree><country name="Turquie"><noRegion><name sortKey="Akarsu, Cevher" sort="Akarsu, Cevher" uniqKey="Akarsu C" first="Cevher" last="Akarsu">Cevher Akarsu</name></noRegion><name sortKey="Al, Halil" sort="Al, Halil" uniqKey="Al H" first="Halil" last="Al">Halil Al</name><name sortKey="Celik, Muhammet Ferhat" sort="Celik, Muhammet Ferhat" uniqKey="Celik M" first="Muhammet Ferhat" last="Çelik">Muhammet Ferhat Çelik</name><name sortKey="Dural, Ahmet Cem" sort="Dural, Ahmet Cem" uniqKey="Dural A" first="Ahmet Cem" last="Dural">Ahmet Cem Dural</name><name sortKey="Kalayc, Mustafa Uygar" sort="Kalayc, Mustafa Uygar" uniqKey="Kalayc M" first="Mustafa Uygar" last="Kalayc">Mustafa Uygar Kalayc</name><name sortKey="Kankaya, Burak" sort="Kankaya, Burak" uniqKey="Kankaya B" first="Burak" last="Kankaya">Burak Kankaya</name><name sortKey="Kone, Osman" sort="Kone, Osman" uniqKey="Kone O" first="Osman" last="Köne">Osman Köne</name><name sortKey="Mert, Meral" sort="Mert, Meral" uniqKey="Mert M" first="Meral" last="Mert">Meral Mert</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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