Case report, case study
https://doi.org/10.3325/cmj.2022.63.197
Senhance robot-assisted adrenalectomy: a case series
Nikola Knežević
orcid.org/0000-0001-9198-310X
; Department of Urology, University Hospital Center Zagreb, Zagreb, Croatia
Luka Penezić
orcid.org/0000-0003-2842-553X
; Department of Urology, University Hospital Center Zagreb, Zagreb, Croatia
Tomislav Kuliš
orcid.org/0000-0002-0895-5691
; Department of Urology, University Hospital Center Zagreb, Zagreb, Croatia
Toni Zekulić
orcid.org/0000-0002-3498-0217
; Department of Urology, University Hospital Center Zagreb, Zagreb, Croatia
Hrvoje Saić
orcid.org/0000-0001-5667-0781
; Department of Urology, University Hospital Center Zagreb, Zagreb, Croatia
Tvrtko Hudolin
; Department of Urology, University Hospital Center Zagreb, Zagreb, Croatia
Željko Kaštelan
; Department of Urology, University Hospital Center Zagreb, Zagreb, Croatia
Abstract
We present a case series of 12 consecutive robot-assisted adrenalectomies performed from May 2019 to March
2020 by a single surgeon experienced in laparoscopy using the novel Senhance robotic system. Eleven patients
had primary aldosteronism due to an adrenal adenoma,
diagnosed by means of endocrinological and radiological
evaluation, and 1 had a benign adrenal cyst. The robotic
adrenalectomy technique is described in detail. The mean
procedure time was 165.1 minutes, with robotic docking
time of 11.6 minutes and console time of 98.6 minutes. The
mean estimated blood loss was 47 mL, and hospital stay
duration was 4.5 days. There was 1 Clavien Dindo IIIB complication and 1 patient underwent conversion to laparoscopy. All patients with adenoma had complete biochemical remission after surgery. In conclusion, the Senhance
robotic system is a safe and feasible platform for benign
adrenal surgery in high-volume centers
Keywords
Hrčak ID:
279015
URI
Publication date:
21.4.2022.
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