Robot-assisted laparoscopic surgery for treatment of adrenal tumors in children
10.3760/cma.j.cn101070-20210628-00741
- VernacularTitle:机器人辅助腹腔镜手术治疗儿童肾上腺肿瘤
- Author:
Qiang YUAN
1
;
Fei PENG
;
Chong LIANG
;
Xueqiang YAN
;
Xufei DUAN
Author Information
1. 华中科技大学同济医学院附属武汉儿童医院（武汉市妇幼保健院）小儿外科，武汉 430015
- Keywords:
Robot;
Laparoscopy;
Adrenal tumor;
Limitation
- From:
Chinese Journal of Applied Clinical Pediatrics
2022;37(15):1177-1180
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility, efficacy and limitation of robot-assisted laparoscopic surgery in the treatment of adrenal tumors in children.Methods:The clinical data of 5 children with adrenal tumors treated with robot-assisted laparoscopic surgery in Wuhan Children′s Hospital, Tongji Medical College, Huazhong University of Science & Technology from October 2020 to March 2021 were retrospectively analyzed. All patients were males aged between 2 years and 4 months to 13 years and 1 month (median: 7 years and 7 months). One case had left adrenal adenomas and 4 cases had right adrenal adenomas.The maximum diameter of tumors was 3.0-6.0 cm (median: 4.8 cm).Results:Robot-assisted laparoscopic adrenalectomy was performed successfully on all 5 patients.The ope-ration time was 215-325 min (median: 275 min). The intraoperative bleeding was 10-50 mL (median: 28 mL). The indwelling time of the drainage tube after surgery was 3-5 days (median: 4 days). The postoperative hospital stay was 9-13 days (median: 11 days). The hospitalization cost was 51 268-58 157 yuan (median: 53 485 yuan). No complications occurred during or after the operation.Postoperative pathological tests suggested adrenal cortex adenocarcinoma in 1 case, pheochromocytoma in 1 case, gangliocytoma in 2 cases, and ganglioneuroblastoma in 1 case.Conclusions:Robot-assisted laparoscopic surgery is safe and feasible in children with adrenal tumors, but there are some limitations.This approach needs to be verified by further clinical research.
