V11-04: Robotic Right Adrenalectomy for Pheochromocytoma

Video

Introductions and Objectives
Due to the low incidence and delicacy of some particular pathologies, there remain certain procedures that are technically challenging even in the age of high definition laparoscopy and articulating, robotic instruments. A minimally invasive adrenalectomy for a metabolically active tumor such as a pheochromocytoma highlights such a trial. Our goal is to provide a methodical and reproducible template for performing a right side adrenalectomy for a suspected pheochromocytoma. We also demonstrate the advantages the robotic platform offers in this particular procedure.

Methods
We present a robot-assisted laparoscopic right adrenalectomy, highlighting the key steps to performing the procedure safely and efficiently. We provide narration and bulleted slides as audiovisual aids.

Results
We perform the procedure without intraoperative or postoperative complication. The procedure is completed in less than one hour and with minimal blood loss. Final surgical pathology confirmed the diagnosis of a 6cm pheochromocytoma. As expected, the patient’s presenting symptoms resolved and to date has no evidence of recurrent disease or other adverse effect.

Conclusions
Robotic right adrenalectomy is safe and efficient. As has been demonstrated in this video, the articulating capabilities of the robot confer a distinct advantage over a ‘pure’ laparoscopic approach in this setting.

Funding: none