A Novel Approach to Adrenalectomy: Robot-Assisted Posterior Retroperitoneoscopic Single-Port Approach

Abstract

Introduction:

We present a video case of the first documented robot-assisted retroperitoneoscopic single-port adrenalectomy in the prone position.

Methods:

This is a 60-year-old woman who was referred to our clinic with a left adrenal mass and biochemical work-up consistent with a pheochromocytoma. A detailed video shows the operative technique used to perform a retroperitoneoscopic adrenalectomy using a single port in the prone position on a DaVinci SP robot.

Results:

The procedure was tolerated well and without complications. The patient was discharged home the morning after surgery and was off all her antihypertensive medications postoperatively.

Conclusion:

We present a novel robotic approach to adrenal surgery that only requires one small incision and utilizes the benefits of the retroperitoneal approach. There could be several benefits from this minimally invasive approach; however, concerns related to exposure, patient selection, and technological limitations need further research before widespread application.

No competing financial interests exist.

Runtime of video: 3 mins 58 secs

Patient Consent:

Authors have received and archived patient consent for video recording/publication in advance of video recording of procedure.