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Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?

Objective: Open adrenalectomy (OA) is considered to be the standard care for large adrenal tumors. Minimally invasive surgery (MIS) using laparoscopic technique is considered for many patients in the modern era. Robot assisted laparoscopic adrenalectomy (RALA) can be an extremely useful tool which w...

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Autores principales: Ragavan, Narasimhan, Selvaraj, Nivash, Raghavan, Deepak, Kamalakannan, Ramesh, Govindaswamy, Thirumalai Ganesan, Balakrishnan, Arun Kumar, Jain, Nitesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502421/
https://www.ncbi.nlm.nih.gov/pubmed/32968553
http://dx.doi.org/10.7759/cureus.9887
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author Ragavan, Narasimhan
Selvaraj, Nivash
Raghavan, Deepak
Kamalakannan, Ramesh
Govindaswamy, Thirumalai Ganesan
Balakrishnan, Arun Kumar
Jain, Nitesh
author_facet Ragavan, Narasimhan
Selvaraj, Nivash
Raghavan, Deepak
Kamalakannan, Ramesh
Govindaswamy, Thirumalai Ganesan
Balakrishnan, Arun Kumar
Jain, Nitesh
author_sort Ragavan, Narasimhan
collection PubMed
description Objective: Open adrenalectomy (OA) is considered to be the standard care for large adrenal tumors. Minimally invasive surgery (MIS) using laparoscopic technique is considered for many patients in the modern era. Robot assisted laparoscopic adrenalectomy (RALA) can be an extremely useful tool which will negate the disadvantage of laparoscopic method. The aim of the present study is to determine whether adrenal tumor size and laterality have an impact on patients undergoing RALA with respect to perioperative and postoperative outcomes.  Methods: During the study period, 38 patients who underwent RALA in a tertiary care center were considered for retrospectively analysis. The study populations were subdivided into distinctive groups based on the tumor size (<5 cm and ≥5 cm, <8 cm and ≥8 cm), and side (right and left side). For all the subgroups, perioperative and postoperative outcomes were analyzed. Perioperative and postoperative outcomes were assessed between patient groups, group a) <5 cm and ≥5 cm tumor, group b) <8 cm and ≥8 cm, and group c) laterality (right vs left). Results: None of the patients showed any differences. In the current study, the conversion rate, readmission, and mortality were not observed. No major complications were noted. Conclusion: RALA appears to be an extremely viable alternative to MIS using laparoscopic technique. The operative time, console time, blood loss, complication rates, and stay were extremely minimal irrespective of the size or laterality of the adrenal tumor.
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spelling pubmed-75024212020-09-22 Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter? Ragavan, Narasimhan Selvaraj, Nivash Raghavan, Deepak Kamalakannan, Ramesh Govindaswamy, Thirumalai Ganesan Balakrishnan, Arun Kumar Jain, Nitesh Cureus Endocrinology/Diabetes/Metabolism Objective: Open adrenalectomy (OA) is considered to be the standard care for large adrenal tumors. Minimally invasive surgery (MIS) using laparoscopic technique is considered for many patients in the modern era. Robot assisted laparoscopic adrenalectomy (RALA) can be an extremely useful tool which will negate the disadvantage of laparoscopic method. The aim of the present study is to determine whether adrenal tumor size and laterality have an impact on patients undergoing RALA with respect to perioperative and postoperative outcomes.  Methods: During the study period, 38 patients who underwent RALA in a tertiary care center were considered for retrospectively analysis. The study populations were subdivided into distinctive groups based on the tumor size (<5 cm and ≥5 cm, <8 cm and ≥8 cm), and side (right and left side). For all the subgroups, perioperative and postoperative outcomes were analyzed. Perioperative and postoperative outcomes were assessed between patient groups, group a) <5 cm and ≥5 cm tumor, group b) <8 cm and ≥8 cm, and group c) laterality (right vs left). Results: None of the patients showed any differences. In the current study, the conversion rate, readmission, and mortality were not observed. No major complications were noted. Conclusion: RALA appears to be an extremely viable alternative to MIS using laparoscopic technique. The operative time, console time, blood loss, complication rates, and stay were extremely minimal irrespective of the size or laterality of the adrenal tumor. Cureus 2020-08-20 /pmc/articles/PMC7502421/ /pubmed/32968553 http://dx.doi.org/10.7759/cureus.9887 Text en Copyright © 2020, Ragavan et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Ragavan, Narasimhan
Selvaraj, Nivash
Raghavan, Deepak
Kamalakannan, Ramesh
Govindaswamy, Thirumalai Ganesan
Balakrishnan, Arun Kumar
Jain, Nitesh
Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?
title Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?
title_full Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?
title_fullStr Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?
title_full_unstemmed Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?
title_short Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?
title_sort robot assisted laparoscopic adrenalectomy: does size matter?
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502421/
https://www.ncbi.nlm.nih.gov/pubmed/32968553
http://dx.doi.org/10.7759/cureus.9887
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