Zhao Yang,Zhou Huixia,Ma Lifei,et al.Preliminary experience of robot-assisted laparoscopic adrenal mass resection in children[J].Journal of Clinical Pediatric Surgery,,20():712-717.[doi:10.12260/lcxewkzz.2021.08.003]
Preliminary experience of robot-assisted laparoscopic adrenal mass resection in children
- Keywords:
- Robotic Surgical Procedures; Laparoscopy; Adrenalectomy; Child
- CLC:
- R736.6;R726.1
- Abstract:
- Objective To explore the feasibility, safety and efficacy of robot-assisted laparoscopic adrenalectomy (RALA) with semi-hidden incision techniquein for pediatric adrenal mass. Methods Ten patients with adrenal mass underwent RALA with semi-hidden incision technique from June 2017 to June 2019. There were 6 girls and 4 boys with an average age of 37.9(1-96) months. The involved side was bilateral (n=1), left (n=4) and right (n=6). There were antenatal ultrasonic detection (n=1), abdominal pain (n=4), ultrasonic detection (n=5). Preoperative computed tomography (CT) or magnetic resonance imaging (MRI) revealed adrenal mass without image-defined risk factors. Results All procedures were successfully performed without any conversion into open surgery. The average operative duration was 145.2(97-220) min, the mean estimated volume of blood loss 22(10-30) ml and the mean tumor diameter 4.7(3-8) cm and the mean tumor weight 38.3(5-76) gram. Histopathological examination hinted at cyst (n=1), mature teratoma (n=3), ganglioneuroma (n=3) and ganglioneuroblastoma (n=3). One case developed fever for 10 days and ultrasonic decected effusion between liver and kidney. Others recovered well postoperatively. The mean hospital stay was 7(4-20) days, the mean days of removing drainage 6(3-15) days and the mean days of resuming a solid oral diet 3.8(3-7) days. During a mean follow-up period of 12.5(6-20) months, there was no onset of recurrence or metastasis. Conclusion Robotic-assisted laparoscopic adrenalectomy is both safe and effective for pediatric adrenal tumor.
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Memo
收稿日期:2020-07-20。
基金项目:卫生部行业科研专项（编号：201402007）；首都卫生发展科研专项（编号：2016—2—5091）
通讯作者:周辉霞,Email:huixia99999@163.com