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- Title
Safety and feasibility of reduced-port site surgery for robotic posterior retroperitoneal adrenalectomy.
- Authors
Kim, Won Woong; Lee, Yu-mi; Chung, Ki-Wook; Hong, Suck Joon; Sung, Tae-Yon
- Abstract
<bold>Background: </bold>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).<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
MINIMALLY invasive procedures; ADRENAL tumors; SURGICAL robots; BENIGN tumors; ADRENALECTOMY; RETROPERITONEUM; PILOT projects; LENGTH of stay in hospitals; ENDOSCOPIC surgery; RETROSPECTIVE studies
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2020, Vol 34, Issue 10, p4291
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-019-07273-0