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Safety and feasibility of reduced-port site surgery for robotic posterior retroperitoneal adrenalectomy

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Abstract

Background

Minimally invasive surgery, such as laparoscopic adrenalectomy and robotic adrenalectomy, has become a treatment of choice for benign adrenal tumors. Efforts are ongoing to minimize the invasiveness of the procedure and to reduce the number of port sites. The primary endpoint of this study was the safety and feasibility of a reduced-port site technique for robotic posterior retroperitoneal adrenalectomy (RPRA).

Methods

This study retrospectively analyzed 74 RPRAs performed by a single surgeon, including 30 conventional three-port site early-phase RPRAs, 30 three-port site late-phase RPRAs, and 14 reduced-port site RPRAs. Reduced-port site RRPA was defined as using two port sites: one for a multi-glove port and one for an additional side port. The clinicopathological features and surgical outcomes were compared in these three groups.

Results

No major complications were observed following RPRA in the three groups of patients. Operation time, pain score, and hospital stay did not differ significantly among these three groups.

Conclusions

RPRA using a reduced-port site system was safe and feasible and may be a good alternative to conventional three-port site RPRA for benign adrenal tumors in certain situations.

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Acknowledgments

We thank Hyungmin Kim for his assistance in the operating room and for sharing the idea of a new reduced-port site RPRA technique.

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Authors and Affiliations

  1. Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, South Korea

    Won Woong Kim, Yu-mi Lee, Ki-Wook Chung, Suck Joon Hong & Tae-Yon Sung

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  1. Won Woong Kim
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  2. Yu-mi Lee
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Correspondence to Tae-Yon Sung.

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Won Woong Kim, Yu-mi Lee, Ki-Wook Chung, Suck Joon Hong, and Tae-Yon Sung have no conflicts of interest or financial ties to disclose.

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Kim, W.W., Lee, Ym., Chung, KW. et al. Safety and feasibility of reduced-port site surgery for robotic posterior retroperitoneal adrenalectomy. Surg Endosc 34, 4291–4297 (2020). https://doi.org/10.1007/s00464-019-07273-0

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  • DOI: https://doi.org/10.1007/s00464-019-07273-0

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