Key result
Robot-assisted radical adrenalectomy with thrombectomy and vascular reconstruction was successfully performed with a console time of 94 min, 44 ml blood loss, and negative surgical margins.
Case Report (n=1)
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Robot-assisted radical adrenalectomy with thrombectomy and vascular reconstruction using robotic bulldogs is feasible and safe for adrenal vein thrombus.
BACKGROUND: Renal or adrenal neoplastic vein thrombi are relative contra-indications for laparoscopic treatment. To the best of our knowledge, we present the first robot-assisted radical adrenalectomy (RARA) with the presence of a thrombus in the adrenal vein. METHODS: A 54 year-old male with a history of laparoscopic left radical nephrectomy for clear cell carcinoma was referred to our department with a diagnosed right adrenal tumour extending into the adrenal vein. A RARA was planned through a trans-peritoneal approach, and an en bloc resection of the adrenal and its vein with clamping of the vena cava was performed. RESULTS: Console time was 94 min and the estimated blood loss was 44 ml. The pathology report confirmed clear cell carcinoma with negative surgical margins. Convalescence was uneventful. CONCLUSION: RARA with thrombectomy and vascular reconstruction can be safe, effective and feasible in experienced hands, using robotic bulldogs.
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Ploumidis et al. (2015) conducted a case report in Metastatic adrenal vein thrombus from clear cell carcinoma (n=1). Robot-assisted radical adrenalectomy (RARA) with clamping of the vena cava was evaluated on Surgical outcomes (console time, blood loss, pathology, convalescence). Robot-assisted radical adrenalectomy with thrombectomy and vascular reconstruction was successfully performed with a console time of 94 min, 44 ml blood loss, and negative surgical margins.
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