J Korean Surg Soc.  2011 Dec;81(Suppl 1):S21-S24. 10.4174/jkss.2011.81.Suppl1.S21.

Robot-assisted posterior retroperitoneoscopic adrenalectomy: single port access

• Park JH
• Walz MK
• Kang SW
• Jeong JJ
• Nam KH
• Chang HS
• Chung WY
• Park CS

• KMID: 1445779
• DOI: http://doi.org/10.4174/jkss.2011.81.Suppl1.S21

Abstract

Laparoscopic adrenalectomy has become a gold standard in adrenal gland surgery. More recently, some minimally invasive trials have been conducted on single access surgery on the adrenal gland. In this study, we introduce our first experiences of robot-assisted posterior retroperitoneoscopic adrenalectomy using single-port access and the da Vinci system.

Keyword

Adrenalectomy; Robotics; Retroperitoneal space; Minimally invasive

MeSH Terms

Adrenal Glands
Adrenalectomy
Retroperitoneal Space
Robotics

Figure

• 

  Fig. 1 Computed tomography scan of the patient showing a 1.5 × 1.1 cm mass in the left adrenal gland.

• 

  Fig. 2 Operative views of robotic posterior retroperitoneoscopic adrenalectomy using single access. (A) Anatomic landmark, (B) skin incision, (C) instrumentation of each robotic arms, and (D) operative position and postoperative wound.

Reference

1. Box G, Averch T, Cadeddu J, Cherullo E, Clayman R, Desai M, et al. Nomenclature of natural orifice translumenal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) procedures in urology. J Endourol. 2008. 22:2575–2581.

2. Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma. N Engl J Med. 1992. 327:1033.

3. Walz MK, Alesina PF. Single access retroperitoneoscopic adrenalectomy (SARA)--one step beyond in endocrine surgery. Langenbecks Arch Surg. 2009. 394:447–450.

4. Horgan S, Vanuno D. Robots in laparoscopic surgery. J Laparoendosc Adv Surg Tech A. 2001. 11:415–419.

5. Walz MK, Peitgen K, Hoermann R, Giebler RM, Mann K, Eigler FW. Posterior retroperitoneoscopy as a new minimally invasive approach for adrenalectomy: results of 30 adrenalectomies in 27 patients. World J Surg. 1996. 20:769–774.

6. Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, et al. Posterior retroperitoneoscopic adrenalectomy--results of 560 procedures in 520 patients. Surgery. 2006. 140:943–948.

7. Hyams ES, Stifelman MD. The role of robotics for adrenal pathology. Curr Opin Urol. 2009. 19:89–96.

8. Wu JC, Wu HS, Lin MS, Chou DA, Huang MH. Comparison of robot-assisted laparoscopic adrenalectomy with traditional laparoscopic adrenalectomy - 1 year follow-up. Surg Endosc. 2008. 22:463–466.