TITLE:
Robot-Assisted Laparoscopic Resection of Large-Volume Pheochromocytoma through the Surface of the Kidney
AUTHORS:
Tao Ma, Zhenyu Cui, Shichao Song, Yong Suo, Wenzeng Yang, Jingyang Guo
KEYWORDS:
Surface of the Kidney, Robotic Surgery, Pheochromocytoma
JOURNAL NAME:
Surgical Science,
Vol.12 No.12,
December
10,
2021
ABSTRACT: Objective: To investigate the clinical application
of robot-assisted laparoscopic surgery on the treatment of large-volume
pheochromocytoma. Methods: A retrospective analysis of 31 patients
with pheochromocytoma disease admitted to the Department of Urology, Affiliated
Hospital of Hebei University from May 2020 to August 2021. According to
clinical data, the tumor volume was 62.4 ± 29.5
mm, including 16 males and 15 females, aged (35.6 ± 16.1)
years old; 17 cases on the left side and 14 cases on the right side. All
patients underwent anatomical resection through the renal superficial approach,
and underwent pheochromocytoma resection through the retroperitoneal approach. The
operation time, blood loss, postoperative complications, retention time of
drainage tube and postoperative follow-up were observed. Results: All the 31 operations were
successful, and there were no obvious postoperative complications. The average
operation time, blood loss, and drainage tube retention time were 71 min, 80 mL,
and (1.2 ± 0.6) days, respectively. Postoperative pathology
was confirmed to be pheochromocytoma. There was no tumor recurrence in the
follow-up for 1 - 15 months. Conclusion: Robot-assisted laparoscopic anatomical resection of
large-volume pheochromocytoma through the renal surface of the abdominal cavity
can provide a larger operating space during the operation, with clear
anatomical landmarks of “lipocrasis”, less bleeding, less trauma,
intraoperative and postoperative. The
advantages of fewer complications, procedural operation, and shorter learning
curve can be promoted in clinical practice.