34. Robotics in Adrenal Disease

  1. Mohan S. Gundeti MB, MS, MCh, FEBU, FRCS (Urol), FEAPU
  1. Aron Bruhn MD1 and
  2. Michael D. Stifelman MD1,2

Published Online: 3 FEB 2012

DOI: 10.1002/9781444345292.ch34

Pediatric Robotic and Reconstructive Urology: A Comprehensive Guide

Pediatric Robotic and Reconstructive Urology: A Comprehensive Guide

How to Cite

Bruhn, A. and Stifelman, M. D. (2011) Robotics in Adrenal Disease, in Pediatric Robotic and Reconstructive Urology: A Comprehensive Guide (ed M. S. Gundeti), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345292.ch34

Editor Information

  1. The Center for Pediatric Robotic and Minimal Invasive Surgery, The University of Chicago and Comer Children's Hospital Chicago, IL, USA

Author Information

  1. 1

    Department of Urology, New York University School of Medicine, New York, NY, USA

  2. 2

    NYU Robotic Surgery Center, New York, NY, USA

Publication History

  1. Published Online: 3 FEB 2012
  2. Published Print: 22 MAR 2011

ISBN Information

Print ISBN: 9781444335538

Online ISBN: 9781444345292

SEARCH

Keywords:

  • robotic surgery;
  • adrenalectomy;
  • minimally invasive surgery;
  • robotic adrenalectomy;
  • laparoscopic adrenalectomy;
  • partial adrenalectomy;
  • adrenal surgical anatomy

Summary

Purpose: To review the role of robotic surgery in the management of pediatric surgical disease of the adrenal gland. Overview: Series of robotic adrenalectomy (RA) have demonstrated safety and feasibility and also potential advantages over laparoscopy in several studies in adults. The robotic experience in pediatric patients is more limited but growing. This chapter summarizes the key studies in robotic adrenal surgery as they apply to pediatric adrenal surgery. Laparoscopic adrenalectomy (LA) is considered the standard of care for surgical diseases of the adrenal gland. Robotic techniques have an advantage in visualizing and dissecting the adrenal gland and its vasculature and also increased maneuverability which is helpful when operating in small spaces. Specific anatomic factors and techniques are discussed to optimize understanding of successfully performing robotic surgery.

Summary: Although there are limited descriptions of pediatric robotic adrenalectomy, robotic techniques for adult adrenalectomy have subjective advantages compared with LA, but no objective superiority has been demonstrated. Surgical outcomes have been comparable to LA in most studies but further research and exploration in this field are warranted. As pediatric surgeons become for familiar with robotic techniques, RA will be increasingly considered in lieu of LA. While LA remains the standard of care for pediatric adrenalectomy, RA is an excellent option for those familiar with the technique.