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Erschienen in: Langenbeck's Archives of Surgery 7/2016

12.08.2016 | ORIGINAL ARTICLE

Robotic assisted versus pure laparoscopic surgery of the adrenal glands: a case-control study comparing surgical techniques

verfasst von: Luca Morelli, Dario Tartaglia, Jessica Bronzoni, Matteo Palmeri, Simone Guadagni, Gregorio Di Franco, Andrea Gennai, Matteo Bianchini, Luca Bastiani, Andrea Moglia, Vincenzo Ferrari, Enza Fommei, Andrea Pietrabissa, Giulio Di Candio, Franco Mosca

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 7/2016

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Abstract

Purpose

The role of the da Vinci Robotic System ® in adrenal gland surgery is not yet well defined. The goal of this study was to compare robotic-assisted surgery with pure laparoscopic surgery in a single center.

Methods

One hundred and 16 patients underwent minimally invasive adrenalectomies in our department between June 1994 and December 2014, 41 of whom were treated with a robotic-assisted approach (robotic adrenalectomy, RA). Patients who underwent RA were matched according to BMI, age, gender, and nodule dimensions, and compared with 41 patients who had undergone laparoscopic adrenalectomies (LA). Statistical analysis was performed using the Student’s t test for independent samples, and the relationship between the operative time and other covariates were evaluated with a multivariable linear regression model. P < 0.05 was considered significant.

Results

Mean operative time was significantly shorter in the RA group compared to the LA group. The subgroup analysis showed a shorter mean operative time in the RA group in patients with nodules ≥6 cm, BMI ≥ 30 kg/m2 and in those who had previous abdominal surgery (p < 0.05). Results from the multiple regression model confirmed a shorter mean operative time with RA with nodules ≥6 cm (p = 0.010). Conversion rate and postoperative complications were 2.4 and 4.8 % in the LA group and 0 and 4.8 % in the RA group.

Conclusions

In our experience, RA shows potential benefits compared to classic LA, in particular on patients with nodules ≥6 cm, BMI ≥ 30 kg/m2, and with previous abdominal surgery.
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Metadaten
Titel
Robotic assisted versus pure laparoscopic surgery of the adrenal glands: a case-control study comparing surgical techniques
verfasst von
Luca Morelli
Dario Tartaglia
Jessica Bronzoni
Matteo Palmeri
Simone Guadagni
Gregorio Di Franco
Andrea Gennai
Matteo Bianchini
Luca Bastiani
Andrea Moglia
Vincenzo Ferrari
Enza Fommei
Andrea Pietrabissa
Giulio Di Candio
Franco Mosca
Publikationsdatum
12.08.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Langenbeck's Archives of Surgery / Ausgabe 7/2016
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-016-1494-0

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