We are currently translating the website, please come back later.
We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

ビデオを見るには、ログインしている必要があります。あなたのアカウントにアクセスするにはここをクリックてください、または無料で登録するにはここをクリック

  • 1935
  • 2016-06-29

Robotic adrenalectomy for left adrenal Conn’s adenoma: live broadcast

Epublication WebSurg.com, Jun 2016;16(06). URL:
あなたは著者に質問するためにログインする必要があります。あなたのアカウントにアクセスするにはここをクリックてください、または無料で登録するにはここをクリック
According to recent studies, robotic adrenalectomy has proven to be superior to laparoscopic adrenalectomy, with a reduction of blood loss during procedure and a reduced operative time. The robotic system provides an intraoperative stability to the surgeon, allowing for a perfect handling of sensitive functional adrenal tumors. The main advantage of robotics lies in the ease of dissection, aided by improved visualization, the EndoWrist®, articulated instruments, and reduction of tremors, allowing for more accurate movements. Indications: hormone-secreting tumors, adrenal masses >5cm, smaller lesions suspicious for malignancy, and lesions increasing in size on serial imaging. Contraindications: infiltrative adrenal masses and tumors of extremely large size, because the size of adrenal lesions correlates with the potential for adrenal carcinoma. The da Vinci Robotic Surgical System (Intuitive Surgical Inc., Sunnyvale, CA, USA) and the following robotic instruments are used:30-degree scope, ProGrasp™ forceps, Hot Shears (monopolar curved scissors or a hook), and a Robotic Clip Applier. A monopolar cautery hook and Harmonic ACE® curved shears can also be used when deemed helpful by the surgeon. Laparoscopic instruments that can be handled by the bedside assistant, a clip applier and a suction device are also used.