Valutazione iniziale dell’impiego del sistema Da Vinci nella surrenectomia robotica

Luca, Fabrizio and Valvo, Manuela and Cenciarelli, Sabine and Pozzi, Simonetta and Biffi, Roberto and Lo Falso, F. (2009) Valutazione iniziale dell’impiego del sistema Da Vinci nella surrenectomia robotica. Il giornale di chirurgia, 30 (5 Supp). p. 167. ISSN 1971-145X

Preview

Text article(314).pdf - Published Version Download (518kB)

Abstract

Introduction: In last years we have witnessed a progressive expansion of robotic abdominal surgery. The aim of our preliminary study was to determine potential advantages and limitations in adrenalectomy procedure. Methods: We prospectively evaluated five consecutive cases of monolateral transperitoneal robotic adrenalectomy. All the procedures were performed with the Da Vinci S surgical system, with the patient in 45° lateral decubitus, opposite to the lesion site, and with a 20° antitrendelemburg. Two robotic trocars were inserted into the flank and into the iliac fossa omolaterally plus a third trocar positioned in the controlateral hypochondrium for the assistant surgeon at the operating table. Results: From May 2007 until March 2009 at the European Institute of Oncology has been performed five adrenalectomy procedures, with full robotic technique. Two patients were male and three female. Mean age was 62.4 ± 11.3 years. Three were left and two were right adrenalectomies. Histology was: two adrenocortical adenomas and three metastasis, one from melanoma, one from ovarian cancer and the last from lung cancer. Mean operative time was 178 ± 28 min. with no conversion to open technique. Mean post-operative hospital stay was 4.4 ± 1.6 days (range 2-6) and none had post-operative minor or major complications. Blood loss was negligible in all cases. Conclusions: Robotic adrenalectomy have subjective advantages as the better identification of the dissection planes, thanks to the magnified vision of the operative field and the easier and safer isolation of the delicate anatomical structures with this type of surgery. An objective superiority of this technique over the traditional ones should be demonstrated with further studies.

Item Type:	Article
Uncontrolled Keywords:	GIST, surgery, risk factors
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	11 Feb 2016 16:17
Last Modified:	11 Feb 2016 16:17
URI:	http://eprints.bice.rm.cnr.it/id/eprint/6187

Actions (login required)

View Item