Techniques to perform robotic left adrenalectomy in the obese patient.

ABSTRACT:

Introduction

Minimally invasive adrenalectomy may be associated with reduction in postoperative pain, morbidity, and length of stay and, as a result, has become a preferred approach for many adrenal tumors. Left-sided adrenal tumors, however, are particularly challenging to address in the morbidly obese patient due to difficulties in maintaining exposure and dissection. The robotic platform offers instruments with greater degrees of freedom that aid in retraction and dissection, especially of the adrenal vein, but fixed patient positioning and the large distance needed between patient ports to avoid arm collisions can be restrictive in patients with a large amount of retroperitoneal fat and small working space.

Methods/results

We demonstrate robotic left adrenalectomy (RLA)

SUBMITTER: Maker AV 

PROVIDER: S-EPMC5219870 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature