Laparoscopic Versus Robotic Lateral Transabdominal Adrenalectomy: a Single-center Randomized Prospective Trial
The Cleveland Clinic
Summary
This study is being done to compare Laparoscopic vs Robotic lateral transabdominal adrenalectomy, these procedures are both standard of care. The study team would like to compare both patient outcomes and surgeon efficiency and perspectives among both procedures. The information from this study will help improve patient care, patient outcomes and maximize the appropriate utilization of resources in adrenal surgery.
Description
Adrenalectomy used to be done through big open chevron, subcostal or thoraco-abdominal incisions that led to significant recovery and morbidity. In 1990s, the description of laparoscopic adrenalectomy revolutionized the care of these patients by converting the procedure into a minimally invasive operation with a short hospital stay and recovery. Since then, many centers have reported the safety and efficacy of laparoscopic adrenalectomy. Laparoscopic surgery uses rigid, straight instruments operated by the surgeons under the visual guidance of a two-dimensional video platform. In the late 200…
Eligibility
- Age range
- 18–75 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Men and women between ages 18 and 75 2. Diagnosis of an adrenal tumor/pathology planned for a minimally invasive adrenalectomy at the department of endocrine surgery at the Cleveland Clinic. Exclusion Criteria: 1. Requirement for an open adrenalectomy based on imaging studies suggesting an aggressive cancer. 2. The presence of extensive surgical history precluding a minimally invasive approach to be undertaken. 3. Patients planned for a partial, rather than a complete adrenalectomy, as the former is a much easier procedure. 4. Patients planned for a posterior adrenale…
Interventions
- Procedurelaparoscopic transabdominal adrenalectomy
Adrenalectomy performed by laparoscopic approach
- Procedurerobotic transabdominal adrenalectomy
Adrenalectomy performed by robotic approach
Location
- The Cleveland Clinic FoundationCleveland, Ohio