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Adrenalectomy

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Complications in Robotic Urologic Surgery

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.

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Authors and Affiliations

  1. Department of Surgery, Division of Urology, University of Sao Paulo Medical School, São Paulo, SP, Brazil

    Fabio C. M. Torricelli MD & Rafael F. Coelho MD

Authors
  1. Fabio C. M. Torricelli MD
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  2. Rafael F. Coelho MD
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Corresponding author

Correspondence to Rafael F. Coelho MD .

Editor information

Editors and Affiliations

  1. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    René Sotelo

  2. Department of Urology, Hospital CIMA, Hermosillo, Sonora, Mexico

    Juan Arriaga

  3. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    Monish Aron

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Torricelli, F.C.M., Coelho, R.F. (2018). Adrenalectomy. In: Sotelo, R., Arriaga, J., Aron, M. (eds) Complications in Robotic Urologic Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-62277-4_15

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  • DOI: https://doi.org/10.1007/978-3-319-62277-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62276-7

  • Online ISBN: 978-3-319-62277-4

  • eBook Packages: MedicineMedicine (R0)

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