| Robotic-assisted adrenalectomy: what advantages compared to lateral transperitoneal laparoscopic adrenalectomy? | |
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MedLine Citation:
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PMID: 18304514 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study evaluates the perioperative outcomes of robotic-assisted adrenalectomy (RA) compared with lateral transperitoneal laparoscopic adrenalectomy (LA). METHODS: Prospective evaluation of 50 patients who underwent unilateral RA versus 59 patients who underwent unilateral LA. RESULTS: RA was associated with lower blood loss (49 mL) but longer operative times (104 minutes) (P < .001). However, the difference in operative time was not significant after the learning curve of 20 cases. In patients with body mass index (BMI) > or = 30 kg/m(2), mean operative time was longer in the LA group (90 vs 78 minutes, P = .03) but not in the RA group. In patients with large tumors (> or = 55 mm), mean operative time was longer in the LA group (100 vs 80 minutes, P = .009) but not in the RA group. Conversion rate, morbidity, and hospital stay were similar in both groups. CONCLUSIONS: After a learning curve of 20 cases, RA has similar perioperative outcomes compared to lateral transperitoneal LA. Several criteria (previous laparoscopic expertise, first assistant's skill and tumor side) remain determinative on RA operative time. |
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Authors:
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Laurent Brunaud; Laurent Bresler; Ahmet Ayav; Rasa Zarnegar; Anne-Laure Raphoz; Than Levan; Georges Weryha; Patrick Boissel |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 195 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-03-25 Completed Date: 2008-04-01 Revised Date: 2009-05-20 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 433-8 Citation Subset: AIM; IM |
Affiliation:
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Department of General and Endocrine Surgery, CHU Nancy (Hopital Brabois Adultes), University of Nancy, School of Medicine, 11 allee du morvan, 54511 Vandoeuvre les Nancy, France. l.brunaud@chu-nancy.fr |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adrenal Gland Diseases / surgery Adrenal Gland Neoplasms / surgery* Adrenal Glands / pathology, surgery Adrenalectomy / instrumentation*, methods* Adult Aged Female Humans Hyperplasia Laparoscopy* / methods Male Middle Aged Peritoneum / surgery Pheochromocytoma / surgery Prospective Studies Robotics* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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