Year: 2026
Type: article
Study design: Case Report
Abstract: The aim of this publication is to demonstrate the reproducibility and safety of the robotic-assisted approach in children with adrenal tumors. Clinical case. A 15-year-old adolescent with an adrenal tumor was diagnosed incidentally during a routine visit to the emergency room due to the sudden onset of a right-sided hydrocele. After performing an ultrasound examination, a 43 × 41 mm tumor was detected in the projection of the right adrenal gland. Subsequent computed tomography confirmed the organ affiliation of the tumor associated with the right adrenal gland. Robot-assisted laparoscopic adrenalectomy was performed using the Versius surgical robot. Initially, the hepatic flexure of the colon was mobilized, exposing the inferior vena cava, spread out on the surface of the tumor. The adrenal vein was isolated, ligated using Hem-o-lok® clips (Teleflex, USA) and transected. Then the adrenal gland together with the tumor was carefully mobilized from the medial side by coagulation of adhesions connecting it to the inferior vena cava. Small adrenal vessels were coagulated with bi- and monopolar robotic instruments (Maryland clamp and hook) from the cranial and lateral surfaces, which allowed complete tumor resection. The adrenal gland was removed externally using a tissue removal bag. Tumor resection was performed completely robotically without conversion to laparoscopy or open surgery. Tumor resection was macroscopically complete. The duration of the operation was 180 min, the net console time was 165 min. We did not observe any intraoperative complications, such as bleeding, damage to adjacent organs, injuries associated with the impact of manipulators on the anterior abdominal wall. The child was discharged from the hospital on the 5th postoperative day. The postoperative period was uneventful. The removed pathological tissue sample, upon histological examination, corresponded to a ganglioneuroma formed from mature ganglion cells and sympathetic nerve ganglia. Conclusion. The presented case demonstrates that adrenalectomy can be performed using robotics due to its advantages, which include improved visualization and increased maneuverability when working with robotic instruments.
DOI: 10.24287/j.1036
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7204270793