AN INTRA‐OPERATIVE VIDEO COMPARISON OF LAPAROSCOPIC VERSUS ROBOTIC TRANSABDOMINAL LATERAL ADRENALECTOMY

xlomafota13 shared this article with you from Inoreader AN INTRA‐OPERATIVE VIDEO COMPARISON OF LAPAROSCOPIC VERSUS ROBOTIC TRANSABDOMINAL LATERAL ADRENALECTOMY Via The International Journal of Medical Robotics and Computer Assisted Surgery ABSTRACT 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 analyzed using Mann‐Whitney U, chi‐square and multivariate regression analyses. Results Demographics, indications and outcomes were similar between groups. For all tumor 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‐opera tive morbidity and hospital stay, there was a superiority in quality of procedure performed with robotic versus laparoscopic adrenalectomy for both small and large adrenal tumors. This article is protected by copyright. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.