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Robotic Adrenal Surgery

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Robotic Urology

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Abstract

Laparoscopic adrenalectomy has become standard of care for benign adrenal disease and is increasingly considered for malignant disease. Though used primarily for intracorporeal suturing, robotic techniques have been applied to laparoscopic adrenalectomy to improve dexterity and visualization during dissection. In particular, these techniques may facilitate identification of small and often numerous adrenal vessels and visualization and dissection of the short right adrenal vein. While robotic adrenalectomy has not proven superior to laparoscopy by objective data, it may be a reasonable option for selected patients, particularly at high volume robotic centers, and assist practitioners without substantial laparoscopic experience. This chapter reviews indications for minimally invasive adrenalectomy, discusses techniques for both right and left robotic adrenalectomy, and reviews literature pertaining to the procedure and comparison with the laparoscopic approach.

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References

  1. Beninca G, Garrone C, Rebecchi F et al. (2003) Robot-assisted laparoscopic surgery: prelimin­ary results at our center. Chir Ital 55:321−331. [Abstract only]

    PubMed  Google Scholar 

  2. Bentas W, Wolfram M, Brautigam R et al. (2002) Laparoscopic transperitoneal adrenalectomy using a remote-controlled robotic surgical system. J Endourol 16:373−376

    Article  PubMed  Google Scholar 

  3. Bovio S, Cataldi A, Reimondo G et al. (2006) Prevalence of adrenal incidentaloma in a contemporary computerized tomography series. J Endo Invest 29:298−302

    CAS  Google Scholar 

  4. Brunaud L, Bresler L, Zarnegar R et al. (2004) Does robotic adrenalectomy improve patient quality of life when compared to laparoscopic adrenalectomy? World J Surg 28:1180−1185

    Article  PubMed  Google Scholar 

  5. Brunaud L, Bresler L, Ayav A et al. (2003) Advantages of using robotic da Vinci system for unilateral adrenalectomy: early results. Ann Chir 128:530−535

    Article  PubMed  CAS  Google Scholar 

  6. Cobb WS, Kercher KW, Sing RF et al. (2005) Laparoscopic adrenalectomy for malignancy. Am J Surg 189:405−411

    Article  PubMed  Google Scholar 

  7. Copeland PM (1983) The incidentally discovered adrenal mass. Ann Int Med 98:940−945

    PubMed  CAS  Google Scholar 

  8. Corcione F, Esposito C, Cuccurullo D et al. (2005) Advantages and limits of robot-assisted laparoscopic surgery: preliminary experience. Surg Endosc 19:117−119

    Article  PubMed  CAS  Google Scholar 

  9. Corcione F, Miranda L, Marzano E et al. (2005) Laparoscopic adrenalectomy for malignant neoplasm: our experience in 15 cases. Surg Endosc 19:841−844

    Article  PubMed  CAS  Google Scholar 

  10. D’Annibale A, Fiscon V, Trevisan P et al. (2004) The da Vinci robot in right adrenalectomy: considerations on technique. Surg Laparosc Endosc Percutan Tech 14:38−41

    Article  PubMed  Google Scholar 

  11. Desai MM, Gill IS, Kaouk JH et al. (2002) Robotic-assisted laparoscopic adrenalectomy. Urology 60:1103−1107

    Article  Google Scholar 

  12. Gagner M, Pomp A, Heniford BT et al. (1997) Laparoscopic adrenalectomy: lessons learned from 100 consecutive patients. Ann Surg 226:238−247

    Article  PubMed  CAS  Google Scholar 

  13. Gagner M, Lacroix A, Bolte E (1992) Laparoscopic adrenlectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 327:1033

    Article  PubMed  CAS  Google Scholar 

  14. Gill IS, Sung GT, Hsu TH et al. (2000) Robotic remote laparoscopic nephrectomy and adrenalectomy: the initial experience. J Urol 164:2082−2085

    Article  PubMed  CAS  Google Scholar 

  15. Gill IS (2001) The case for laparoscopic adrenalectomy. J Urol 166:429−436

    Article  PubMed  CAS  Google Scholar 

  16. Guazzoni G, Cestari A, Montorsi F et al. (2004) Laparoscopic treatment of adrenal diseases: 10 years on. BJU Int 93:221−227

    Article  PubMed  CAS  Google Scholar 

  17. Guazzoni G, Montorsi F, Bocciartdi A et al. (1995) Transperitoneal laparoscopic versus open adrenlaectomy for benign hyperfunctioning adrenal tumors: a comparative study. J Urol 153:1597−1600

    Article  PubMed  CAS  Google Scholar 

  18. Hanly EJ, Talamini MA (2004) Robotic abdominal surgery. Am J Surg 199(Suppl):19S−26S

    Article  Google Scholar 

  19. Hazzan D, Shiloni E, Golijanin D et al. (2001) Laparoscopic vs open adrenalectomy for benign adrenal neoplasm: a comparative study. Surg Endosc 15:1356−1358

    Article  PubMed  CAS  Google Scholar 

  20. Henry JF, Deferchereux T, Raffaelli M et al. (2000) Complications of laparoscopic adrenalectomy: results of 169 consecutive procedures. World J Surg 24:1342−1346

    Article  PubMed  CAS  Google Scholar 

  21. Henry JF, Sebag F, Iacobone M et al. (2002) Results of laparoscopic adrenalectomy for large and potentially malignant tumors. World J Surg 26:1043−1047

    Article  PubMed  Google Scholar 

  22. Hernandez JD, Bann SD, Munz Y et al. (2004) Qualitative and quantitative analysis of the learning curve of a simulated surgical task on the da Vinci system. Surg Endosc 18:372−378

    Article  PubMed  CAS  Google Scholar 

  23. Herrera MF, Grant CS, van Heerden JA et al. (1991) Incidentally discovered adrenal tumors: an institutional perspective. Surgery 110:1014−1021

    PubMed  CAS  Google Scholar 

  24. Horgan S, Vanuno D (2001) Robots in laparoscopic surgery. J Laparoend Adv Surg Tech 11:415−419

    Article  CAS  Google Scholar 

  25. Hubens G, Coveliers H, Balliu L et al. (2003) A performance study comparing manual and robotically assisted laparoscopic surgery using the da Vinci system. Surg Endosc 17:1595−1599

    Article  PubMed  CAS  Google Scholar 

  26. Ishikawa T, Sowa M, Nagayama M et al. (1997) Laparoscopic adrenalectomy: comparison with the conventional approach. Surg Laparosc Endosc 7:275−280

    Article  PubMed  CAS  Google Scholar 

  27. Kebebew E, Siperstein AE, Clark OH et al. (2002) Results of laparoscopic adrenalectomy for suspected and unsuspected malignant adrenal neoplasms. Arch Surg 137:948−953

    Article  PubMed  Google Scholar 

  28. Kim JH, Ng CS, Ramani AP et al. (2004) Laparoscopic radical adrenalectomy with adrenal vein tumor thrombectomy: technical considerations. J Urol 171:1223−1226

    Article  PubMed  Google Scholar 

  29. Korobkin M, Brodeur FJ, Yutzy GG et al. (1996) Differentiation of adrenal adenomas from nonadenomas using CT attenuation values. AJR 166:531−536

    PubMed  CAS  Google Scholar 

  30. Lee RS, Borer JG (2006) Robotic surgery for ureteropelvic junction obstruction. Curr Opin Urol 16:291−294

    Article  PubMed  Google Scholar 

  31. Lo CY, van Heerden JA, Soreide JA et al. (1996) Adrenalectomy for metastatic disease to the adrenal glands. Br J Surg 83:528−531

    Article  PubMed  CAS  Google Scholar 

  32. Luketich JD, Burt ME (1996) Does resection of adrenal metastases from non-small cell lung cancer improve survival? Ann Thorac Surg 62:1614−1616

    Article  PubMed  CAS  Google Scholar 

  33. Mikhail AA, Orvieto MA, Billatos ES et al. (2006) Robotic-assisted laparoscopic prostatectomy: first 100 patients with one year of follow up. Urology 68:1275−1279

    Article  PubMed  Google Scholar 

  34. Moinzadeh A, Gill IS (2004) Robotic adrenalectomy. Urol Clin N Am 31:73−56

    Article  Google Scholar 

  35. Moinzadeh A, Gill IS (2005) Laparoscopic radical adrenalectomy for malignancy in 31 patients. J Urol 173:519−525

    Article  PubMed  Google Scholar 

  36. Morino M, Beninca G, Giraudo G et al. (2004) Robot-assisted vs laparoscopic adrenalectomy: a prospective randomized controlled trial. Surg Endosc 18:1742−1746

    Article  PubMed  CAS  Google Scholar 

  37. Prinz RA (1995) A comparison of laparoscopic and open adrenalectomies. Arch Surg 130:489−494

    PubMed  CAS  Google Scholar 

  38. Rubinstein M, Gill IS, Aron M et al. (2005) Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic adrenalectomy. J Urol 174:442−445

    Article  PubMed  Google Scholar 

  39. Smith CD, Weber CJ, Amerson JR (1999) Laparoscopic adrenalectomy: new gold standard. World J Surg 23:389−396

    Article  PubMed  CAS  Google Scholar 

  40. Sturgeon C, Kebebew E (2004) Laparoscopic adrenalectomy for malignancy. Surg Clin North Am 84:755−774

    Article  PubMed  Google Scholar 

  41. Sung GT, Gill IS (2001) Robotic laparoscopic surgery: a comparison of the da Vinci and Zeus systems. Urology 58:893−898

    Article  PubMed  CAS  Google Scholar 

  42. Talamini MA, Chapman S, Horgan S et al. (2003) A prospective analysis of 211 robotic-assisted surgical procedures. Surg Endosc 17:1521−1524

    Article  PubMed  CAS  Google Scholar 

  43. Thompson GB, Grant CS, van Heerden JA et al. (1997) Laparoscopic versus open posterior adrenalectomy: a case-control study of 100 patients. Surgery 122:1132−1136

    Article  PubMed  CAS  Google Scholar 

  44. Tsuru N, Ushiyama T, Suzuki K (2005) Laparoscopic adrenalectomy for primary and secondary malignant adrenal tumors. J Endourol 19:702−709

    Article  PubMed  Google Scholar 

  45. Undre S, Munz Y, Moorthy K et al. (2004) Robot-assisted laparoscopic adrenalectomy: preliminary UK results. BJU Int 93:357−359

    Article  PubMed  CAS  Google Scholar 

  46. Valeri A, Borrelli A, Presenti L et al. (2001) Adrenal masses in neoplastic patients: The role of laparoscopic procedure. Surg Endosc 15:90−93

    Article  PubMed  CAS  Google Scholar 

  47. Winter JM, Talamini MA, Stanfield CL et al. (2006) Thirty robotic adrenalectomies: A single institution’s experience. Surg Endosc 20:119−124

    Article  PubMed  CAS  Google Scholar 

  48. Young JA, Chapman WH, Kim VB et al. (2002) Robotic-assisted adrenalectomy for adrenal incidentaloma: Case and review of the technique. Surg Laparosc Endosc Percutan Tech 12:126−130

    Article  PubMed  Google Scholar 

  49. Zeh HJ, Udelsman R (2003) One hundred laparoscopic adrenalectomies: a single surgeon’s experience. Ann Surg Onc 10:1012−1017

    Article  Google Scholar 

  50. Young WF Jr (2007) The incidentally discovered adrenal mass. N Engl J Med 356:601−610

    Article  PubMed  CAS  Google Scholar 

  51. Sarela AI, Murphy I, Cold DG et al. (2003) Metastasis to the adrenal gland: the emerging role of laparoscopic surgery. Ann Surg Oncol 10:1191−1196

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Urology, New York University School of Medicine, 151 Lexington Avenue, 10016, New York, NY , USA

    E. Hyams & M.D. Stifelman

Authors
  1. E. Hyams
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  2. M.D. Stifelman
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Editor information

Editors and Affiliations

  1. Zentrum für Urologie, Klinik Hirslanden, 8032, Zurich, Switzerland

    Hubert John

  2. Department of Urology, Karolinska University Hospital, 17176, Stockholm, Sweden

    Peter Wiklund

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© 2008 Springer-Verlag Berlin Heidelberg

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Hyams, E., Stifelman, M. (2008). Robotic Adrenal Surgery. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74140-4_17

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  • DOI: https://doi.org/10.1007/978-3-540-74140-4_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-74139-8

  • Online ISBN: 978-3-540-74140-4

  • eBook Packages: MedicineMedicine (R0)

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