Robot-assisted adrenalectomy: indications and drawbacks

Updates in Surgery
Claire Nomine-CriquiLaurent Brunaud

Abstract

Adrenal tumors can vary from a benign adrenocortical adenoma with no hormonal secretion to a secretory adrenocortical malignancy (adrenocortical carcinoma) or a hormone-secreting tumor of the adrenal medulla (pheochromocytoma). Currently, laparoscopic adrenalectomy is regarded as the preferred surgical approach for the management of most adrenal surgical disorders, although there are no prospective randomized trials comparing this technique with open adrenalectomy. However, widespread adoption of robotic technology has positioned robotic adrenalectomy as an option in some medical centers. Speculative advantages associated with the use of the robotic system have rarely been evaluated in clinical settings and cost increase remains an important drawback associated with robotic surgery. This review summarizes current available data regarding robotic transperitoneal adrenalectomy including its indications, advantages, limitations, and comparison with conventional laparoscopic adrenalectomy. We believe that the use of a robotic system seems to be useful especially in more difficult patients with larger tumors, truncal paragangliomas, and bilateral and/or partial adrenalectomies. Overall, we believe that overcosts due to robotic syste...Continue Reading

References

Oct 19, 2004·World Journal of Surgery·Laurent BrunaudPatrick Boissel
Feb 19, 2005·Journal of Surgical Oncology·Wen T ShenQuan-Yang Duh
Dec 8, 2005·Surgical Endoscopy·J M WinterR D Schulick
May 9, 2006·World Journal of Surgery·F Fausto PalazzoJean-François Henry
Sep 19, 2006·Best Practice & Research. Clinical Endocrinology & Metabolism·Andrew A Gumbs, Michel Gagner
Jul 12, 2007·Surgical Endoscopy·M C TakataQ-Y Duh
Nov 2, 2007·Advances in Surgery·Charlotte Ariyan, Vivian E Strong
Dec 8, 2007·World Journal of Surgery·Giuseppe IppolitoJean-François Henry
Nov 13, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Joon Seong ParkDong Sup Yoon
Dec 2, 2008·Surgery·Laurent BrunaudLaurent Bresler
Dec 6, 2008·Current Opinion in Urology·Elias S Hyams, Michael D Stifelman
Feb 3, 2009·The Surgical Clinics of North America·Mark S Choh, James A Madura
Apr 29, 2010·Current Urology Reports·James S RosoffJoseph J Del Pizzo
Dec 3, 2010·Urology·Ronald S BorisGennady Bratslavsky
Feb 23, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·P C GiulianottiA Coratti
Aug 9, 2011·Journal of Visceral Surgery·A GermainL Brunaud
Aug 23, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Laurent BrunaudLaurent Bresler
Mar 8, 2012·Annals of Surgical Oncology·Orhan AgcaogluEren Berber
Sep 8, 2012·Surgical Endoscopy·Karen Pineda-SolísMartin J Heslin
Oct 18, 2012·Surgical Endoscopy·Erol AksoyEren Berber
Oct 20, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Annibale D'AnnibaleVito Pende
May 4, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Ji Young YouHoon Yub Kim
Jul 19, 2013·Annals of Surgical Oncology·Shamil AliyevEren Berber
Oct 2, 2013·European Urology·Luis Felipe BrandaoJihad H Kaouk
Apr 9, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Halit E TaskinEren Berber
Jun 4, 2014·The Journal of Clinical Endocrinology and Metabolism·Jacques W M LendersWilliam F Young
Jul 17, 2015·Journal of Surgical Oncology·Claire Nomine-CriquiLaurent Bresler
Oct 22, 2015·Surgical Endoscopy·Grace S LeeMelanie L Richards
Jul 9, 2016·Surgical Endoscopy·Ajay V Maker, Vijay K Maker
Jun 1, 2011·Journal of Robotic Surgery·E NordenströmA Bergenfelz
Nov 30, 2016·Langenbeck's Archives of Surgery·Lo Hallin ThompsonAnders Bergenfelz
Dec 21, 2016·Investigative and Clinical Urology·Xin Ling Teo, Sey Kiat Lim

❮ Previous
Next ❯

Citations

Aug 23, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Brian C RuhleRaymon H Grogan
Nov 9, 2019·Langenbeck's Archives of Surgery·Radu MihaiLaurent Brunaud
Apr 23, 2019·Molecular and Clinical Oncology·Giovanni CochettiEttore Mearini
Mar 7, 2020·Langenbeck's Archives of Surgery·Konstantinos PerivoliotisGeorge Tzovaras
Nov 12, 2020·Updates in Surgery·Gabriele Materazzi, Leonardo Rossi
Nov 19, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Qiqi ZhouWei Liu
Feb 12, 2021·Asian Journal of Urology·Kulthe Ramesh Seetharam BhatOscar Schatloff

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Adrenocortical Carcinoma

Adrenocortical carcinoma (ACC) is a rare malignancy of the adrenal cortex, associated with a generally dismal prognosis owing to its aggressive behavior. Here are the latest discoveries pertaining to this disease.