Comparison of Perioperative Outcomes in Patients Undergoing Robotic and Laparoscopic Adrenalectomy
Korean Journal of Urological Oncology
;
: 118-123, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-215746
ABSTRACT
PURPOSE:
To compare outcomes of robotic adrenalectomy with conventional laparoscopic adrenalectomy. MATERIALS ANDMETHODS:
This retrospective study included 63 patients who underwent robotic or laparoscopic adrenalectomy between March 2005 and April 2016, with all operations performed using a transperitoneal approach. Outcomes were compared in the 29 patients who underwent robotic adrenalectomy and the 34 who underwent conventional laparoscopic adrenalectomy.RESULTS:
Mean age (53.1±12.2 years vs. 51.4±15.1 years, p=0.631) and body mass index (25.9±3.8 kg/m2 vs. 25.2±3.5 kg/m2, p=0.461) were similar in the robotic and laparoscopic groups. A significant percentage of patients in the robotic group had undergone prior abdominal surgery (38% vs. 12%, p=0.015). Mean tumor sizes (3.0±1.5 cm vs. 3.7±2.7 cm, p=0.134) and the percentage of incidentalomas (75.9% vs. 73.5%, p=0.354) were similar in the robotic and laparoscopic groups. There were no statistical significance between-group differences in tumor size, operative time, estimated blood loss, perioperative hemoglobin change, length of hospital stay, and complication rates. Pathologic diagnosis showed that pheochromocytoma (21% vs. 3%) and metastatic tumor (24% vs. 6%) were more frequent in the robotic than in the laparoscopic group (p=0.019). Subgroup analysis of patients with low tumor volume (≤6.8 cm3) showed that operation time was significantly shorter in the robotic than in the laparoscopic group (p=0.045).CONCLUSIONS:
Robotic adrenalectomy is feasible, with outcomes comparable to those of laparoscopic adrenalectomy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Feocromocitoma
/
Índice de Massa Corporal
/
Estudos Retrospectivos
/
Glândulas Suprarrenais
/
Adrenalectomia
/
Carga Tumoral
/
Diagnóstico
/
Duração da Cirurgia
/
Tempo de Internação
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Urological Oncology
Ano de publicação:
2016
Tipo de documento:
Artigo
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