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An intra‐operative video comparison of laparoscopic versus robotic transabdominal lateral adrenalectomy
Author(s) -
Gokceimam Mehmet,
Akbulut Serkan,
Erten Ozgun,
Kahramangil Bora,
Kim Yoo S.,
Li Pengpeng,
Berber Eren
Publication year - 2021
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2203
Subject(s) - adrenalectomy , medicine , dissection (medical) , surgery , laparoscopy , demographics , robotic surgery , sociology , demography
Background The aim was to compare intraoperative conduct of adrenalectomy between laparoscopic and robotic approaches. Methods Intraoperative video‐recordings of patients who underwent robotic ( n = 30) and laparoscopic adrenalectomy ( n = 30) were analysed using Mann–Whitney U , chi‐square and multivariate regression analyses. Results Demographics, indications and outcomes were similar between groups. For all tumour sizes, camera was more engaged to surgical task and exhibited less vision problems in robotic versus laparoscopic group. There was less instrument exchange and restriction of exposure with robotic approach. For dissection, robotic approach allowed for a wider range of instrument reach around adrenal. Robotically, there was an increased ability to do fine dissection, rather than en bloc division with rigid laparoscopic vessel sealers. Bleeding problems were less robotically. Conclusion Despite similarities in post‐operative morbidity and hospital stay, there was a superiority in quality of procedure performed with robotic versus laparoscopic adrenalectomy for both small and large adrenal tumours.