Adrenalectomy

Chapter

Abstract

Robot-assisted laparoscopic adrenalectomy (RALA) is indicated in the treatment of benign and malign diseases of adrenal gland. Although this procedure has proved to be feasible and safe in most of cases, postoperative complications may occur.

Complication rate associated with RALA is low, and when compared to pure laparoscopic adrenalectomy, potential benefits can be noted. Minor complications have been described, such as fever, hydro-electrolytic disorders, nausea and vomiting, wound infections, urinary tract infection, pneumonia, and blood transfusion. Rare major complications including respiratory failure and cardiac arrest were also reported.

These complications can be minimized following some basic principles: detailed and careful preoperative care of the cases, adequate robotic training program of the surgeon, and awareness of all the main steps of the procedure.

Keywords

Adrenalectomy Conversion Complication Hemorrhage Laparoscopic Robotic 

References

  1. 1.
    Piazza L, Caragliano P, Scardilli M, Sgroi AV, Marino G, Giannone G. Laparoscopic robot-assisted right adrenalectomy and left ovariectomy (case reports). Chir Ital. 1999;51:465–6.PubMedGoogle Scholar
  2. 2.
    Desai MM, Gill IS, Kaouk JH, Matin SF, Sung GT, Bravo EL. Robotic-assisted laparoscopic adrenalectomy. Urology. 2002;60:1104–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Aksoy E, Taskin HE, Aliyev S, Mitchell J, Siperstein A, Berber E. Robotic versus laparoscopic adrenalectomy in obese patients. Surg Endosc. 2013;27:1233–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Taskin HE, Berber E. Robotic adrenalectomy. Cancer J. 2013;19:162–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Ariyan C, Strong VE. The current status of laparoscopic adrenalectomy. Adv Surg. 2007;41:133–53.CrossRefPubMedGoogle Scholar
  6. 6.
    Hyams ES, Stifelman MD. The role of robotics for adrenal pathology. Curr Opin Urol. 2009;19:89–96.CrossRefPubMedGoogle Scholar
  7. 7.
    Brandao LF, Autorino R, Laydner H, Haber GP, Ouzaid I, De Sio M, Perdona S, Stein RJ, Porpiglia F, Kaouk JH. Robotic versus laparoscopic adrenalectomy: a systematic review and meta-analysis. Eur Urol. 2014;65:1154–61.CrossRefPubMedGoogle Scholar
  8. 8.
    Yiannakopoulou E. Robotic assisted adrenalectomy: surgical techniques, feasibility, indications, oncological outcome and safety. Int J Surg. 2016;28:169–72.CrossRefPubMedGoogle Scholar
  9. 9.
    Tang K, Li H, Xia D, Yu G, Guo X, Guan W, Xu H, Ye Z. Robot-assisted versus laparoscopic adrenalectomy: a systematic review and meta-analysis. J Laparoendosc Adv Surg Tech A. 2015;25:187–95.CrossRefPubMedGoogle Scholar
  10. 10.
    Morino M, Beninca G, Giraudo G, Del Genio GM, Rebecchi F, Garrone C. Robot-assisted vs laparoscopic adrenalectomy: a prospective randomized controlled trial. Surg Endosc. 2004;18:1742–6.CrossRefPubMedGoogle Scholar
  11. 11.
    Brandao LF, Autorino R, Zargar H, Krishnan J, Laydner H, Akca O, Mir MC, Samarasekera D, Stein R, Kaouk J. Robot-assisted laparoscopic adrenalectomy: step-by-step technique and comparative outcomes. Eur Urol. 2014;66:898–905.CrossRefPubMedGoogle Scholar
  12. 12.
    Karabulut K, Agcaoglu O, Aliyev S, Siperstein A, Berber E. Comparison of intraoperative time use and perioperative outcomes for robotic versus laparoscopic adrenalectomy. Surgery. 2012;151:537–42.CrossRefPubMedGoogle Scholar
  13. 13.
    Aliyev S, Karabulut K, Agcaoglu O, Wolf K, Mitchell J, Siperstein A, Berber E. Robotic versus laparoscopic adrenalectomy for pheochromocytoma. Ann Surg Oncol. 2013;20:4190–4.CrossRefPubMedGoogle Scholar
  14. 14.
    You JY, Lee HY, Son GS, Lee JB, Bae JW, Kim HY. Comparison of robotic adrenalectomy with traditional laparoscopic adrenalectomy with a lateral transperitoneal approach: a single-surgeon experience. Int J Med Robot. 2013;9:345–50.CrossRefPubMedGoogle Scholar
  15. 15.
    Brunaud L, Bresler L, Ayav A, Zarnegar R, Raphoz AL, Levan T, Weryha G, Boissel P. Robotic-assisted adrenalectomy: what advantages compared to lateral transperitoneal laparoscopic adrenalectomy? Am J Surg. 2008;195:433–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Asher KP, Gupta GN, Boris RS, Pinto PA, Linehan WM, Bratslavsky G. Robot-assisted laparoscopic partial adrenalectomy for pheochromocytoma: the National Cancer Institute technique. Eur Urol. 2011;60:118–24.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Agcaoglu O, Aliyev S, Karabulut K, Mitchell J, Siperstein A, Berber E. Robotic versus laparoscopic resection of large adrenal tumors. Ann Surg Oncol. 2012;19:2288–94.CrossRefPubMedGoogle Scholar
  18. 18.
    Agcaoglu O, Aliyev S, Karabulut K, Siperstein A, Berber E. Robotic vs laparoscopic posterior retroperitoneal adrenalectomy. Arch Surg. 2012;147:272–5.CrossRefPubMedGoogle Scholar
  19. 19.
    Pineda-Solis K, Medina-Franco H, Heslin MJ. Robotic versus laparoscopic adrenalectomy: a comparative study in a high-volume center. Surg Endosc. 2013;27:599–602.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Surgery, Division of UrologyUniversity of Sao Paulo Medical SchoolSão PauloBrazil

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