Abstract:
Background: With increased utilization of robotic technology, robotic adrenalectomy (RA) became popular in certain high-volume centers as an alternative to conventional laparoscopic adrenalectomy (LA). The aim of the present study was to evaluate clinical and surgical outcomes of RA in two high-volume centers in Turkey.
Methods: Between 2012 and 2019, consecutive patients who underwent robotic transperitoneal adrenalectomy in two referral centers for surgical endocrine diseases in Turkey were analyzed retrospectively.
Results: A total of 111 patients were analyzed. Mean diameter of the tumor in preoperative imaging was 38.6 +/- 2.0 mm. Total operation time was 135.4 +/- 47.9 min. The analysis of the learning curve period and the post-learning curve period in both centers demonstrated that the total surgery time decreased from 152.68 +/- 48.6 to 118.8 +/- 37.1 min, and the console time decreased from 113.2 +/- 38.9 to 81.6 +/- 35.1 min (P<0.0001). In 8 patients, complications arose during the surgery and postoperative complications were observed in 10 patients. Intraoperative complication rate was 28% in patients with a tumor diameter of greater than 50 mm (P<0.0001). There was no mortality.
Conclusions: Our study demonstrated that RA is a safe and effective procedure with low-morbidity and without mortality in high number of cases.
