Comparison of DaVinci® Si and Xi robotic platforms for adrenal surgery. Effects on short term outcomes
Hüsnü Aydın 1, Ahmet Cem Dural 1, Nuri Alper Sahbaz 1, Cevher Akarsu 1, Sezer Akbulut 1, Deniz Güzey 1, Sina Ferahman 1, Halil Alıs 2, Mehmet 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
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
