Article ; Online: Robotic and Laparoscopic Approaches for Adrenal Surgery in Obese Patients.
2020 Volume 87, Issue 4, Page(s) 588–594
Abstract: Objective: Minimally invasive adrenalectomy is a challenging procedure in obese patients. Few recent studies have advocated against robot-assisted adrenalectomy, particularly in obese patients. This study aims to compare operative outcomes between the ... ...
| Abstract | Objective: Minimally invasive adrenalectomy is a challenging procedure in obese patients. Few recent studies have advocated against robot-assisted adrenalectomy, particularly in obese patients. This study aims to compare operative outcomes between the robotic and laparoscopic adrenalectomy, particularly in obese patients. Materials and methods: A retrospective analysis was performed on all consecutive patients undergoing adrenalectomy for benign disease by a single surgeon using either a laparoscopic or robotic approach. Adrenal surgeries for adrenal cancer were excluded. Demographics, operative time, length of hospital stays, estimated blood loss (EBL), and intraoperative and postoperative complications were evaluated. Patients were divided into 2 groups; obese and nonobese. A sub-analysis was performed comparing robotic and laparoscopic approaches in obese and nonobese patients. Results: Out of 120, 55 (45.83%) were obese (body mass index ≥ 30 kg/m Conclusion: Robot-assisted adrenal surgery is safe in obese patients and appears to be longer; however, it provides improvements in postoperative outcomes, including EBL and shorter hospital stay. |
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| MeSH term(s) | Adrenal Gland Diseases/complications ; Adrenal Gland Diseases/surgery ; Adrenalectomy/methods ; Adult ; Aged ; Female ; Humans ; Laparoscopy ; Male ; Middle Aged ; Obesity/complications ; Retrospective Studies ; Robotic Surgical Procedures ; Treatment Outcome | |||||
| Language | English | |||||
| Publishing date | 2020-11-01 | |||||
| Publishing country | United States | |||||
| Document type | Comparative Study ; Journal Article | |||||
| ZDB-ID | 202465-2 | |||||
| ISSN | 1555-9823 ; 0003-1348 | |||||
| ISSN (online) | 1555-9823 | |||||
| ISSN | 0003-1348 | |||||
| DOI | 10.1177/0003134820951498 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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