Application of Robot-assisted Laparoscopic Adrenalectomy for Adrenal Region Masses in Children:Report of 6 Cases
10.3969/j.issn.1009-6604.2023.12.008
- VernacularTitle:机器人辅助腹腔镜下小儿肾上腺区肿物切除术6例报告
- Author:
Jiao LI
1
;
Daorui QIN
;
Yu MAO
;
Xuejun WANG
;
Bo YANG
;
Boya LI
;
Zhu CHEN
;
Yunman TANG
Author Information
1. 电子科技大学附属医院 四川省人民医院儿童医学中心小儿外科,成都 610072
- Keywords:
Robotic surgical procedures;
Children;
Adrenal gland neoplasms
- From:Chinese Journal of Minimally Invasive Surgery
2023;23(12):919-924
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and efficiency of robot-assisted laparoscopic resection of pediatric adrenal region masses.Methods Six cases with adrenal region mass underwent robot-assisted laparoscopic adrenalectomy(RALA)from October 2019 to March 2022 in our hospital by using the da Vinci Robotic Surgery System.The patient was routinely placed in the 60°position on the healthy side.Two robotic arms were used to operate,and additional auxiliary operation holes were added as needed.The tumor was revealed by the combination of sharp and blunt separation,and the tumor trophoblastic vessels were identified.The tumor vessels were isolated by clamping with silk wire or biological clips.The tumor was fully freed and excised completely.Smaller specimens were removed by a slightly enlarged operation hole,and larger specimens were removed by another incision in the lower abdomen.Results All the 6 cases of procedures were successfully performed without conversion to open surgery.The operative duration was 90-240 min(mean,133.3 min),and the blood loss was 15-50 ml(mean,31.7 ml).In 2 cases,the drainage tube was not placed.In the remaining 4 cases,the indwelling time of the drainage tube after surgery was 4-8 d(mean,5.5 d).The postoperative hospital stay was5-15 d(mean,8.7 d).There were no complications except for one patient with postoperative bleeding.All the patients were followed up for 10-24 months(mean,16.7 months).CT examinations showed no recurrence of tumors.Conclusion Robotic-assisted laparoscopic resection of pediatric adrenal region masses is safe with satisfactory results.
