1 Mar 2023Article
Comparison of DaVinci® Si and Xi robotic platforms for adrenal surgery. Effects on short term outcomes
Hüsnü Aydın 1Ahmet Dural 1Nuri Sahbaz 1Cevher Akarsu 1Sezer Akbulut 1Deniz Güzey 1Sina Ferahman 1Halil Alıs 2Mehmet Karabulut 1
Affiliations
Article Info
1 Department of General Surgery, University of Health Sciences, Faculty of Medicine, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
2 Department of General Surgery, Istanbul Aydin University, Faculty of Medicine, Istanbul, Turkey
Ann. Ital. Chir., 2023, 94(2), 173-178;
Published: 1 Mar 2023
Copyright © 2023 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
OBJECTIVES: To evaluate our experience and short term surgical outcomes between two robotic systems. METHODS: The present study retrospectively analyzed 38 cases, who underwent robotic adrenalectomy between 2012-2019 at our center. The patients were divided into Group Si (n=11) and Group Xi (n=27), and the results of these two groups were compared. RESULTS: Demographic characteristics of both groups were similar between two groups. While, 42% of the patients had Cushing syndrome, 22% had Pheochromocytoma and 22% had Conn syndrome in the Xi group, 72% of the patients were non-secreting adrenocortical adenoma in Si group (p=0.005). The mean docking time in Group Xi was shorter than Si group (p=0.027). Console and total operation times were similar in both groups (p=0.312 and p=0.424; respectively). The intraoperative complication rate (p=0.500) and hospital stay (3.2±1.0 vs. 2.52±1.42 days, respectively, p = 0.077) were similar in both groups. Postoperative 4th and 12th hour Visual Analog Scale (VAS) scores were similar (p=0.213 and p=0.857; respectively). The average cost of robotic consumables was $210 higher in Xi group (p=0.495). CONCLUSION: Our study shows that; the Xi robotic system is as safe as the Si system for adrenalectomy operations.
Keywords
- Adrenal gland surgery
- Minimally invasive adrenalectomy
- Robotic surgery