ID 14060
File
Authors
Morizane, Shuichi Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Honda, Masashi Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Shimizu, Ryutaro Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
Teraoka, Shogo Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
Yumioka, Tetsuya Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB
Yamaguchi, Noriya Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
Iwamoto, Hideto Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Hikita, Katsuya Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Takenaka, Atsushi Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Keywords
adrenalectomy
forceps
robotic surgery
Abstract
Minimally invasive adrenalectomy is the preferred technique for managing adrenal tumors. Laparoscopic adrenalectomy is widely performed and covered by insurance in Japan, but robot-assisted adrenalectomy is not. To investigate the best forceps combinations for performing robot-assisted adrenalectomy safely, we performed robot-assisted adrenalectomy for two left and two right adrenal adenomas using different robotic forceps combinations (bipolar forceps, monopolar curved scissors, Vessel Sealer Extend, and SynchroSeal) for each case. Although we evaluated a small number of RAs, lower blood loss was observed in patients where the vessel sealing devices were used. The extent of dissection is small for adrenalectomy, and robotic bipolar vessel sealing tools may not be necessary, especially for the small adrenal tumors. However, considering the risk benefits, the combination of forceps with Vessel Sealer Extend (by the left arm) and monopolar curved scissors (by the right arm) will become one of the best forceps combinations for performing robot-assisted adrenalectomy safely.
Publisher
Tottori University Medical Press
Content Type
Journal Article
Link
ISSN
05135710
EISSN
13468049
NCID
AA00892882
Journal Title
Yonago Acta Medica
Current Journal Title
Yonago Acta Medica
Volume
65
Issue
2
Start Page
176
End Page
180
Published Date
2022-05-23
Publisher-DOI
Text Version
Publisher
Rights
(C) 2022 Tottori University Medical Press.
Citation
Yonago Acta Medica. 2022, 65(2), 176-180. doi10.33160/yam.2022.05.008
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English