Category: Adrenal

VS17-8 - Laparoscopic (robot-assisted) excision of large adrenal tumour: video demonstration & perioperative outcomes.

Sun, Sep 23
2:00 PM - 4:00 PM

Introduction & Objective :

Recent reports in literature have described robotic adrenalectomy as a potential surgical option for patients with adrenal lesions (secreting/non-secreting). We aim to share the technique and experience of Laparoscopic (robot assisted) adrenalectomy at our institute.

Methods :

12-adrenalectomies in 12 patients from (2012-2018) were analysed. With patient in lateral position port placements (for DaVinci Si model) included standard ports for camera, three arms used for primary surgery and lateral retraction, one assistant port and one liver retractor port. Surgical approach included transperitoneal approach, exposure of adrenal gland, control of the adrenal vein, circumferential dissection of the adrenal gland & specimen retrieval.

Results :

7 Females & 5 Males with mean age of 42 years (24-54), underwent adrenalectomies (6-Left & 6-Right sided) for 5 pheochromocytomas, 6 asymptomatic adenomas & 1 Ganglioneuroblastoma. The mean console time and blood loss was 100 minutes (90-120) & 70 ml (30-100) respectively with uneventful intra- or post-operative period. The total hospital stay was 5 days. At 6 & 12 months of follow-up the patients were disease free.

Conclusions :

Laparoscopic assisted robotic adrenalectomy is feasible, safe and provides encouraging functional and oncologic outcomes in patients with adrenal lesion/s. Our experience showed good short term outcomes. However more number of patients with long term outcomes data is necessary.

Santosh SUBHASH. Waigankar

Post Doctoral Fellow in Urooncology and Robotic Surgery
Kokilaben Dhirubhai Ambani Hospital
Mumbai, Maharashtra, India

Dr. Santosh Waigankar is a trained urologist from India who is presently pursuing urooncology and robotic surgery. After completing his training in urology, he decided to venture into subspecialty of urooncology and robotic surgery. He was selected as the first Vattikuti fellow in robotic urooncology in India (2015) and joined Kokilaben Dhirubhai Ambani hospital under the mentorship of Dr. T. B. Yuvaraja. He has been since associated with the department gaining valuable experience in Si and Xi DaVinci setups, as a beside and a console surgeon.

Fueled with curiosity and eagerness to learn he loves to interact with like-minded people across India and all over the world. He believes that gaining professional experience globally helps oneself to improve one’s perspective and broaden one’s approach to managing urological cancers.

He loves research and wants to work in areas as well looking into “unconventional” issues related to urological cancers as a whole e.g. molecular biology and ways to augment treatment outcomes in future. Doing research is his way of reciprocating back to the community.

His first international entry at the European Robotic Urology Society (ERUS 2017) won him the second prize for the best poster submission. The paper analyzed the “measured” outcomes post robotic partial nephrectomies. He has been awarded the scholarship for attending the 38th Société Internationale d'Urologie Congress (SIU 2018), scheduled to be held in Seoul.

He has keen interest in single port robotic surgery and aspires to get trained in the same.

He loves making friends from all walks of life and believes in knowledge sharing to enrich oneself. He is active on social media. He loves blogging and photography and follows cricket, tennis and F1 racing. Balancing between family, friends and professional life has been his priority always.

Yuvaraja Tb

Head of robotic surgery and urooncology
kokilaben dhirubhai ambani hospital
mumbai, Maharashtra, India

Srivathsan Ramani

Fellow - Robotic Urooncology
kokilaben dhirubhai ambani hospital
mumbai, Maharashtra, India

Abhinav Pednekar

Resident Surgical Oncology
Kokilaben Dhirubhai Ambani Hospital and Research Institute
Mumbai, Maharashtra, India