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| Initial experience with robot-assisted adrenalectomy for giant adrenal tumors |
Takayuki Ohzekia,*( ),Hiroyuki Kitaa,Remon Kunishigea,Taiji Hayashia,Tsukasa Nishiokaa,Koichi Sugimotob,Takafumi Minamic,Kazutoshi Fujitac
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aDepartment of Urology, Izumi City General Hospital, 4-5-1 Wakecho, Izumi, Osaka 594-0073, Japan
bDepartment of Urology, Kaizuka City Hospital, 10-20 Hori 3-chome, Kaizuka, Osaka 594-0073, Japan
cDepartment of Urology, Kindai University Faculty of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka 589-8511, Japan |
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Received: 10 March 2023
Available online: 20 July 2024
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Corresponding Authors:
*E-mail address: takayuki.ozeki@tokushukai.jp (T. Ohzeki)
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Imaging and intraoperative findings related to robotic-assisted adrenalectomy. (A) An 11.3 cm×6.2 cm substantial tumor (△) was found in the left adrenal gland, and the inside of the tumor showed a low absorption area that necrosis was suspected; (B) A 10 cm×10 cm cyst was observed in the left adrenal gland, and the contents indicated hyperintensity on both T1- and T2-weighted abdominal magnetic resonance imaging; a septum and a 52-mm solid component were found inside the cyst (△); (C) Ports for robotic adrenalectomy: ① 8 mm, port; ② 12 mm, camera; ③ 8 mm, port; ④ 8 mm, port; ⑤ 12 mm, assistant; and ⑥ 12 mm, assistant (AirSealTM Insufflation System, CONMED Japan KK, Tokyo, Japan); (D) Intraoperative findings for Patient 2; a blood vessel (arrow) flowing into a giant cyst (△) was observed, which was thought to be the central vein of the adrenal gland.
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