Robot-assisted laparoscopic adrenalectomy: preliminary UK results.
OBJECTIVE
To describe the results of our first two cases of laparoscopic adrenalectomy using the da Vinci surgical system (Intuitive Surgical, Inc., Mountain View, CA, USA).


METHODS
Amongst 75 robot-assisted procedures performed at our institution, two patients underwent robot-assisted laparoscopic adrenalectomy. The set-up time, procedure time, hospital stay, complications and outcomes were recorded.


RESULTS
Both operations were completed successfully using the robot; the mean (range) set-up time was 31 (25-37) min and mean procedure time 118.5 (107-130) min. One patient had a postoperative pulmonary embolus and was discharged 5 days after surgery; the second patient was discharged after 3 days. There were no intraoperative complications; both patients were well at the 1-year follow-up.


CONCLUSIONS
Robot-assisted laparoscopic adrenalectomy is technically feasible and can be conducted efficiently and safely with the da Vinci surgical system.
Undre
S
S
Department of Surgical Oncology and Technology, Imperial College, London, UK. s.undre@imperial.ac.uk
Munz
Y
Y
Moorthy
K
K
Martin
S
S
Rockall
T
T
Vale
J
J
Darzi
A
A
D000236:Adenoma / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome