Thirty robotic adrenalectomies: A single institution's experience

J. M. Winter, M. A. Talamini, C. L. Stanfield, D. C. Chang, J. D. Hundt, A. P. Dackiw, K. A. Campbell, R. D. Schulick

Research output: Contribution to journalArticle

86 Scopus citations

Abstract

Background: Robotic adrenalectomy is a minimally invasive alternative to traditional laparoscopic adrenalectomy. To date, only case reports and small series of robotic adrenalectomies have been reported. This study presents a single institution's series of 30 robotic adrenalectomies, and evaluates the procedure's safety, efficacy, and cost. Methods: Thirty patients underwent robotic adrenalectomy at the Johns Hopkins Hospital between April 2001 and January 2004. Patient morbidity, hospital length of stay, operative time, and conversion rate to traditional laparoscopic or open surgery are presented. Improvement in operative time with surgeon experience is evaluated. Hospital charges are compared to charges for traditional laparoscopic and open adrenalectomies performed during the same time period. Results: Median operative time was 185 min. Patient morbidity was 7%. There were no conversions to traditional laparoscopic or open surgery. The median hospital stay was 2 days. Operative time improved significantly by 3 min with each operation. Hospital charges for robotic adrenalectomy ($12,977) were not significantly different than charges for traditional laparoscopic ($11,599) or open adrenalectomy ($14,600). Conclusions: Robotic adrenalectomy is a safe and effective alternative to traditional laparoscopic adrenalectomy.

Original languageEnglish (US)
Pages (from-to)119-124
Number of pages6
JournalSurgical Endoscopy and Other Interventional Techniques
Volume20
Issue number1
DOIs
StatePublished - Jan 1 2006

Keywords

  • Adrenalectomy
  • Cost
  • Da Vinci
  • Laparoscopy
  • Learning curve
  • Robot

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Thirty robotic adrenalectomies: A single institution's experience'. Together they form a unique fingerprint.

  • Cite this

    Winter, J. M., Talamini, M. A., Stanfield, C. L., Chang, D. C., Hundt, J. D., Dackiw, A. P., Campbell, K. A., & Schulick, R. D. (2006). Thirty robotic adrenalectomies: A single institution's experience. Surgical Endoscopy and Other Interventional Techniques, 20(1), 119-124. https://doi.org/10.1007/s00464-005-0082-0