Skip to main content
SpringerLink
Log in

Robot-Assisted Total and Partial Adrenalectomy

  • Chapter
  • First Online:
Atlas of Robotic Urologic Surgery

Abstract

In this chapter, we will discuss robot-assisted total and partial adrenalectomy. We discuss the indications for surgery and patient selection, evaluation, and preparation. We include a detailed description of the operative set up, patient positioning, and trocar configuration. This is followed by a step-by-step description of both total and partial adrenalectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Zeh III HJ, Udelsman R. One hundred laparoscopic adrenalectomies: a single surgeon’s experience. Ann Surg Oncol. 2003;10:1012–7.

    Article  PubMed  Google Scholar 

  2. Gill IS. The case for laparoscopic adrenalectomy. J Urol. 2001;166:429–36.

    Article  CAS  PubMed  Google Scholar 

  3. Cyriac J, Weizman D, Urbach DR. Laparoscopic adrenalectomy for the management of benign and malignant adrenal tumors. Expert Rev Med Devices. 2006;3:777–86.

    Article  PubMed  Google Scholar 

  4. Liao CH, Chueh SC, Lai MK, et al. Laparoscopic adrenalectomy for potentially malignant adrenal tumors greater than 5 centimeters. J Clin Endocrinol Metab. 2006;91:3080–3.

    Article  CAS  PubMed  Google Scholar 

  5. Tsuru N, Ushiyama T, Suzuki K. Laparoscopic adrenalectomy for primary and secondary malignant adrenal tumors. J Endourol. 2005;19:702–8; discussion 708–9.

    Article  PubMed  Google Scholar 

  6. Diner EK, Franks ME, Behari A, et al. Partial adrenalectomy: the National Cancer Institute experience. Urology. 2005;66:19–23.

    Article  PubMed  Google Scholar 

  7. Walther MM, Herring J, Choyke PL, et al. Laparoscopic partial adrenalectomy in patients with hereditary forms of pheochromocytoma. J Urol. 2000;164:14–7.

    Article  CAS  PubMed  Google Scholar 

  8. Henry JF, Defechereux T, Gramatica L, et al. Should laparoscopic approach be proposed for large and/or potentially malignant adrenal tumors? Langenbecks Arch Surg. 1999;384:366–9.

    Article  CAS  PubMed  Google Scholar 

  9. Liatsikos EN, Papathanassiou Z, Voudoukis T, et al. Case report: laparoscopic adrenalectomy in a patient with primary adrenal malignant melanoma. J Endourol. 2006;20:123–6.

    Article  PubMed  Google Scholar 

  10. Janetschek G, Finkenstedt G, Gasser R, et al. Laparoscopic surgery for pheochromocytoma: adrenalectomy, partial resection, excision of paragangliomas. J Urol. 1998;160:330–4.

    Article  CAS  PubMed  Google Scholar 

  11. Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med. 1992;327:1033.

    Article  CAS  PubMed  Google Scholar 

  12. Guazzoni G, Cestari A, Montorsi F, et al. Laparoscopic treatment of adrenal diseases: 10 years on. BJU Int. 2004;93:221–7.

    Article  CAS  PubMed  Google Scholar 

  13. Hazzan D, Shiloni E, Golijanin D, et al. Laparoscopic vs open adrenalectomy for benign adrenal neoplasm. Surg Endosc. 2001;15:1356–8.

    Article  CAS  PubMed  Google Scholar 

  14. Valeri A, Borrelli A, Presenti L, et al. Adrenal masses in neoplastic patients: the role of laparoscopic procedure. Surg Endosc. 2001;15:90–3.

    Article  CAS  PubMed  Google Scholar 

  15. Fazeli-Matin S, Gill IS, Hsu TH, et al. Laparoscopic renal and adrenal surgery in obese patients: comparison to open surgery. J Urol. 1999;162:665–9.

    Article  CAS  PubMed  Google Scholar 

  16. Hallfeldt KK, Mussack T, Trupka A, et al. Laparoscopic lateral adrenalectomy versus open posterior adrenalectomy for the treatment of benign adrenal tumors. Surg Endosc. 2003;17:264–7.

    Article  CAS  PubMed  Google Scholar 

  17. Jacobsen NE, Campbell JB, Hobart MG. Laparoscopic versus open adrenalectomy for surgical adrenal disease. Can J Urol. 2003;10:1995–9.

    PubMed  Google Scholar 

  18. Kirshtein B, Yelle JD, Moloo H, et al. Laparoscopic adrenalectomy for adrenal malignancy: a preliminary report comparing the short-term outcomes with open adrenalectomy. J Laparoendosc Adv Surg Tech A. 2008;18:42–6.

    Article  PubMed  Google Scholar 

  19. Horgan S, Vanuno D. Robots in laparoscopic surgery. J Laparoendosc Adv Surg Tech A. 2001;11:415–9.

    Article  CAS  PubMed  Google Scholar 

  20. Brunaud L, Bresler L, Ayav A, et al. Robotic-assisted adrenalectomy: what advantages compared to lateral transperitoneal laparoscopic adrenalectomy? Am J Surg. 2008;195:433–8.

    Article  PubMed  Google Scholar 

  21. Brunaud L, Bresler L, Zarnegar R, et al. Does robotic adrenalectomy improve patient quality of life when compared to laparoscopic adrenalectomy? World J Surg. 2004;28:1180–5.

    Article  PubMed  Google Scholar 

  22. Desai MM, Gill IS, Kaouk JH, et al. Robotic-assisted laparoscopic adrenalectomy. Urology. 2002;60:1104–7.

    Article  PubMed  Google Scholar 

  23. Gill IS, Sung GT, Hsu TH, et al. Robotic remote laparoscopic nephrectomy and adrenalectomy: the initial experience. J Urol. 2000;164:2082–5.

    Article  CAS  PubMed  Google Scholar 

  24. Krane LS, Shrivastava A, Eun D, et al. A four-step technique of robotic right adrenalectomy: initial experience. BJU Int. 2008;101:1289–92.

    Article  PubMed  Google Scholar 

  25. Moinzadeh A, Gill IS. Robotic adrenalectomy. Urol Clin North Am. 2004;31:753–6.

    Article  PubMed  Google Scholar 

  26. Sung GT, Gill IS. Robotic renal and adrenal surgery. Surg Clin North Am. 2003;83:1469–82.

    Article  PubMed  Google Scholar 

  27. Wu JC, Wu HS, Lin MS, et al. Robotic-assisted laparoscopic adrenalectomy. J Formos Med Assoc. 2005;104:748–51.

    PubMed  Google Scholar 

  28. Young JA, Chapman III WH, Kim VB, et al. Robotic-assisted adrenalectomy for adrenal incidentaloma: case and review of the technique. Surg Laparosc Endosc Percutan Tech. 2002;12:126–30.

    Article  PubMed  Google Scholar 

  29. Sasagawa I, Suzuki Y, Itoh K, et al. Posterior retroperitoneoscopic partial adrenalectomy: clinical experience in 47 procedures. Eur Urol. 2003;43:381–5.

    Article  PubMed  Google Scholar 

  30. Walz MK, Peitgen K, Diesing D, et al. Partial versus total adrenalectomy by the posterior retroperitoneoscopic approach: early and long-term results of 325 consecutive procedures in primary adrenal neoplasias. World J Surg. 2004;28:1323–9.

    Article  PubMed  Google Scholar 

  31. Winter JM, Talamini MA, Stanfield CL, et al. Thirty robotic adrenalectomies: a single institution’s experience. Surg Endosc. 2006;20:119–24.

    Article  CAS  PubMed  Google Scholar 

  32. Rogers CG, Blatt AM, Miles GE, et al. Concurrent robotic partial adrenalectomy and extra-adrenal pheochromocytoma resection in a pediatric patient with von Hippel-Lindau disease. J Endourol. 2008;22:1501–3.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Julien JS, Ball D, Schulick R. Robot-assisted cortical-sparing adrenalectomy in a patient with von Hippel-Lindau disease and bilateral pheochromocytomas separated by 9 years. J Laparoendosc Adv Surg Tech A. 2006;16:473–7.

    Article  Google Scholar 

  34. Rogers CG, Laungani R, Bhandari A, Krane LS, Eun D, Patel MN, Boris R, Shrivastava A, Menon M. Maximizing console surgeon independence during robotic renal surgery by utilizing the fourth arm and TilePro. J Endourol. 2009;21:115–21.

    Article  Google Scholar 

  35. Permpongkosol S, Link RE, Su LM, et al. Complications of 2, 775 urological laparoscopic procedures: 1993 to 2005. J Urol. 2007;177:580–5.

    Article  PubMed  Google Scholar 

  36. Rosevear HM, Montgomery JS, Roberts WW, et al. Characterization and management of postoperative hemorrhage following upper retroperitoneal laparoscopic surgery. J Urol. 2006;176:1458–62.

    Article  PubMed  Google Scholar 

  37. Walz MK, Alesina PF, Wenger FA, et al. Posterior retroperitoneoscopic adrenalectomy—results of 560 procedures in 520 patients. Surgery. 2006;140:943–8; discussion 948–50.

    Article  PubMed  Google Scholar 

  38. Strebel RT, Muntener M, Sulser T. Intraoperative complications of laparoscopic adrenalectomy. World J Urol. 2008;26:555–60.

    Article  PubMed  Google Scholar 

  39. Bishoff JT, Allaf ME, Kirkels W, et al. Laparoscopic bowel injury: incidence and clinical presentation. J Urol. 1999;161:887–90.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Vattikuti Urology Institute, Henry Ford Hospital, 2799 West Gran Blvd, Detroit, MI, 48202, USA

    Ravi Barod M.B.B.S., Ph.D., F.R.C.S. (Urol) & Craig G. Rogers M.D.

Authors
  1. Ravi Barod M.B.B.S., Ph.D., F.R.C.S. (Urol)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Craig G. Rogers M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Craig G. Rogers M.D. .

Editor information

Editors and Affiliations

  1. Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA

    Li-Ming Su

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Technique of total and partial adrenalectomy (MP4 752826 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Barod, R., Rogers, C.G. (2017). Robot-Assisted Total and Partial Adrenalectomy. In: Su, LM. (eds) Atlas of Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-45060-5_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-45060-5_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-45058-2

  • Online ISBN: 978-3-319-45060-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation