Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy

Chai, Young Jun; Kwon, Hyungju; Yu, Hyeong Won; Kim, Su Jin; Choi, June Young; Lee, Kyu Eun; Youn, Yeo-Kyu

doi:10.1155/2014/918346

Cited by 61 publications

(54 citation statements)

References 44 publications

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“…Patients in both the groups had similar conversion rates and overall complications. 35 The same findings have been corroborated in another meta-analysis and systematic review by Chai et al 36 RA has been compared with conventional LA in a certain subset of patients too. Aksoy et al compared outcomes of these two approaches in obese patients (42 patients in robotic group and 57 in laparoscopic group).…”

mentioning

confidence: 54%

Robot-assisted adrenalectomy: current perspectives

Pahwa¹

2017

RSRR

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Laparoscopy has established itself as the procedure of choice for performing adrenalectomy in benign adrenal disorders. Although laparoscopy scores heavily over open approach in terms of lesser blood loss, pain, shorter hospital stay and better cosmesis, it is riddled with certain shortcomings such as the need of dexterity, two-dimensional vision, dependence on an assistant for camera, etc. Robotic surgery promises to overcome these limitations. Multiple series have established that robotic adrenalectomy is a safe and effective procedure as conventional laparoscopy. Recently, robotic surgery has been found to be precise and accurate in performing partial adrenalectomy in hereditary adrenal syndrome cases. Other advances like single-port surgery have expanded the horizon and indications of robotic surgery. This review aims at studying the current evidence available for the effectiveness of robot-assisted adrenalectomy and defining its current status in managing adrenal disorders.

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confidence: 54%

Robot-assisted adrenalectomy: current perspectives

Pahwa¹

2017

RSRR

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“…Open transperitoneal adrenalectomy has been the gold standard of treatment for adrenal disease (Chai et al 2014). Other types of adrenal surgery are laparoscopic lateral transperitoneal adrenalectomy (LTA), laparoscopic posterior retroperitoneal adrenalectomy (PRA) and robotic surgery.…”

Section: Surgery Of Pheochromocytomamentioning

confidence: 99%

“…LTA has been the standard method for resecting benign adrenal gland tumors. Recently, however, PRA has been more popular as an alternative method (Chai et al 2014).…”

Section: Surgery Of Pheochromocytomamentioning

confidence: 99%

Pheochromocytoma, diagnosis and treatment: Review of the literature

Farrugia

Martikos

Tzanetis

et al. 2017

Endocrine Regulations

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Objective. We conducted an extensive review of the literature and tried to cite the most recent recommendations concerning the pheochromocytoma (PHEO).Methods. Pub Med and Google Scholar databases were searched systematically for studies concerning pheochromocytomas (intra-adrenal paragangliomas) from 1980 until 2016. Bibliographies were searched to fi nd additional articles.Results. More than four times elevation of plasma fractionated metanephrines or elevated 24-h urinary fractionated metanephrines are keys to diagnosing pheochromocytoma. If the results are equivocal then we perform the clonidine test. If we have not done it already, we preferably do a CT scan and/or an MRI scan. Th e patient needs pre-treatment with α1-blockers at least 10-14 days before operation. Alternatives or sometimes adjuncts are Calcium Channels Blockers and/ or β-Blockers. Several familial syndromes are associated with PHEO and genetic testing should be considered.Conclusions. Th e biggest problem for pheochromocytoma is to suspect it in the fi rst place. Elevated metanephrines establish the diagnosis. With the proper preoperative preparation the risks during operation and the postoperative period are minimal. If there is a risk of the hereditable mutation, it is strongly suggested that all the patients with pheochromocytoma need clinical genetic testing.

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“…In fact, a more recent literature review has shown that robotic adrenalectomy, when performed at high-volume centers, has superior results to the laparoscopic approach, with lower estimated blood loss, shorter hospital stay, and improvement in intra-operative time with a higher case volume [71]. This is an improvement over a prior meta-analysis published 2 years earlier which had concluded that there is no advantage of robotic adrenalectomy over laparoscopic adrenalectomy [72].…”

Section: Endocrine Surgery: Robotics In Unusual Placesmentioning

confidence: 93%

The Surgical Robot: Applications and Advantages in General Surgery

Barrera¹

2018

Surgical Robotics

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The field of General Surgery with its multiple sub-specialties has experienced the progression of minimally invasive procedures performed with the robotic technology since the last decade. The robotic applications are extensive and have contributed to the enrichment of the surgical sub-specialties based on advantages such as increased surgeon control and autonomy, superior instrument dexterity and tissue handling, improved three-dimensional visualization, wristed articulation, all of this despite the lack of haptic feedback. The sub-specialties of Colorectal, Hepatobiliary and Pancreatic, Gastric Oncologic, Bariatric, Foregut, Pediatric, Endocrine, and Hernia Surgery, in addition to General Surgery as the principal specialty, have produced several high-quality randomized controlled trials, meta-analyses, prospective and retrospective series which have established, in many instances, superior results to those of laparoscopy, and at least non-inferior outcomes over the years. From the first pioneer single-surgeon experiences around the world to the most recent large trials, including the first Robotic General Surgery case series in an American community hospital not classified as a tertiary referral center, patients continue to benefit from this technology as surgeons engage in overcoming their learning curve and training their teams, involving their hospital administrators and working with the industry to perfect their techniques for the sake of their patients.

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Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy

Cited by 61 publications

References 44 publications

Robot-assisted adrenalectomy: current perspectives

Robot-assisted adrenalectomy: current perspectives

Pheochromocytoma, diagnosis and treatment: Review of the literature

The Surgical Robot: Applications and Advantages in General Surgery

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