Adrenal

Adrenal Surgery

2008 – 2019

The robot-assisted endocrine surgery program was started at Cleveland Clinic in 2008. From August 2008 through December 2019, 285 robot-assisted adrenalectomies were performed which resulted in low blood loss (17 mL on average) and short length of stay (fewer than 1.4 days on average). Only 7 robot-assisted procedures needed to be converted to an open approach (2.46%).

Robot-assisted Adrenalectomy Patient Information and Outcomes

N = 285

Surgical approach:LateralPosterior(Total)
N19590285
Age, years, mean51.553.252.0
BMI, mean31.929.331.1
Sex, N
Female13659195
Male593190
Side, N
Unilateral18884272
Bilateral7613
Operative time, minutes, mean156139150
Estimated blood loss, mL, mean18.213.516.7
Length of stay, days, mean1.501.061.36
30-day complications, N
Morbidity12315
Mortality000

BMI = Body Mass Index, kg/m². Below 25 is considered normal weight.

References

Kahramangil B, Berber E (2018) Comparison of posterior retroperitoneal and transabdominal lateral approaches in robotic adrenalectomy: an analysis of 200 cases. (DOI 10.1007/s00464-017-5894-1) Surg Endosc 32:1984–1989