Robotic Adrenalectomy: Updates on Lateral Transperitoneal Approach
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ROBOTIC SURGERY (E BERBER, SECTION EDITOR)
Robotic Adrenalectomy: Updates on Lateral Transperitoneal Approach Feras Alahmed1,2 • Claire Nomine-Criqui2 • Antoine Poirier2 • Lea Demarquet3 Laurent Brunaud2 • Ashwaq Aljehani2,4
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Accepted: 29 September 2020 Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review Adrenal tumor surgery is routinely performed by minimal invasive surgery.Our aim to overview of updates on lateral approach for robotic adrenalectomy. Through online research we obtained more than 30 articles in this review. Recent Finding In the era of robotic surgery with the feasibility and the ability to provide the surgeon of threedimensional view which allows maximum range of motion and precision with the different approaches in adrenalectomy the lateral robotic approach was the most frequently performed. Summary Robotic system is safe and effective approach that can be used for adrenalectomy and can be alternative to laparoscopic depending on the condition of the case and other factors. Keywords Robotic adrenalectomy Adrenal tumors Adrenalectomy Laparoscopic adrenalectomy
This article is part of the Topical Collection on Robotic Surgery. & Feras Alahmed [email protected] 1
Surgery Department, Division of General Surgery, Security Forces Hospital, Riyadh, Saudi Arabia
2
De´partement de Chirurgie Visce´rale, Me´tabolique et Cance´rologique (CVMC), CHRU Nancy, Universite´ de Lorraine, Hopital de Brabois (7e`me e´tage), Vandoeuvre-les-Nancy, France
3
De´partement d’Endocrinologie, Diabe´tologie, Nutrition (EDN), CHRU Nancy, Universite´ de Lorraine, Hopital de Brabois (7e`me e´tage), Vandoeuvre-les-Nancy, France
4
Department of General Surgery, College of Medicine, Imam Mohamed Ibn Saud Islamic University, Riyadh, Saudi Arabia
Introduction Laparoscopic adrenalectomy has been introduced in 1992 for the treatment of small adrenal tumors [1]. Currently, this strategy is the gold standard for the treatment of benign adrenal disorders [2]. Laparoscopic adrenalectomy is widely used as it reduces the mean perioperative pain, duration of hospitalization, and it improves recovery of patient [3]. Use of robotics has been increased in the operating theatre. Robotic adrenalectomy has been adopted by some high-volume tertiary centers, as an alternative of conventional laparoscopic adrenalectomy [•4]. Regarding surgery of adrenal gland, minimally invasive surgery has been considered as more effective than open surgery [•4]. Robotic adrenalectomy is associated with three-dimensional perception and has been proven to be a safe, effective and feasible method [5]. The first introduction of robotic adrenalectomy was reported by Piazza et al. in 1999 for Conn syndrome and performed a right adrenalectomy with the AESOP system [6]. Horgan et al. in 2001 described a robotic approach using the da Vinci surgical robot system [7]. This review aims to highlight the update on transperitoneal lateral approach for adrenalectomy.
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