Robotic adrenalectomy in the pediatric population: initial experience case series from a tertiary center

BMC Urology

Anirban P. Mitra¹  Evalynn Vasquez²  Paul Kokorowski²  Andy Y. Chang² 

[1] Institute of Urology, University of Southern California, Los Angeles, CA, USA;Institute of Urology, University of Southern California, Los Angeles, CA, USA;Division of Urology, Children’s Hospital Los Angeles, Los Angeles, CA, USA;

关键词: Minimally-invasive surgery;    Robotics;    Pediatrics;    Adrenal mass;    Neuroblastoma;    Pheochromocytoma;    Case report;   

DOI  :  10.1186/s12894-020-00727-x

来源: Springer

【 摘 要 】

BackgroundLaparoscopic resection is the most well described minimally-invasive approach for adrenalectomy. While it allows for improved cosmesis, faster recovery and decreased length of hospital stay compared with the open approach, instrument articulation limitations can hamper surgical dexterity in pediatric patients. Use of robotic assistance can greatly enhance operative field visualization and instrument control, and is in the early stages of adoption in academic centers for pediatric populations.Case presentationWe present a single-institution series of pediatric adrenalectomy cases. The da Vinci Xi surgical system was used to perform adrenalectomies on three consecutive patients (ages, 2–13 years) at our center. Final pathology revealed ganglioneuroblastoma (n = 2) and pheochromocytoma (n = 1). Median operating time was 244 min (range, 244–265 min); median blood loss was estimated at 100 ml (range, 15–175 ml). Specimens were delivered intact and all margins were negative. Median post-operative hospital stay was 2 days (range, 1–6 days). All patients remain disease-free at median follow-up of 19 months (range, 12–30 months).ConclusionOur experience continues to evolve, and suggests that robotic surgery is safe, feasible and oncologically effective for resection of adrenal masses in well-selected pediatric patients.

【 授权许可】

CC BY