V03-11 ROBOTIC PARTIAL ADRENALECTOMY IN A PEDIATRIC PATIENT

Abstract

You have accessJournal of UrologyPediatrics (V03)1 Sep 2021V03-11 ROBOTIC PARTIAL ADRENALECTOMY IN A PEDIATRIC PATIENT Amr A. Elbakry, David Zekan, Michael Ost, and Osama Al-Omar Amr A. ElbakryAmr A. Elbakry More articles by this author , David ZekanDavid Zekan More articles by this author , Michael OstMichael Ost More articles by this author , and Osama Al-OmarOsama Al-Omar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001991.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: This is a demonstration of technique for robotic approach for partial adrenalectomy in a pediatric patient. METHODS: A 7-year-old female patient who presented with an incidental finding of right adrenal mass measuring 2.5 cm on US imaging. she had no history of hypertension and examination revealed normal BP. Laboratory workup was done and revealed normal levels of serum aldosterone, metanephrines and plasma renin activity. The mass was stable in size after 10 months follow up, however patient's family opted for surgical resection. patient was placed in flank position. We used 4 8 mm robotic ports and a 5 mm assistant port. We started by reflection of the colon and dissection the undersurface of the liver from the IVC and upper surface of the adrenal mass. The posterior peritoneum was incised to expose the plane between the IVC and the adrenal mass. adrenal mass was carefully dissected from the kidney, posterior abdominal wall and the IVC. The right adrenal vein was identified, controlled and divided. The mass was excised with preservation of the normal part of the adrenal gland. RESULTS: Total operative time was 2 hours and 50 minutes. Estimated blood loss was less than 5 milliliters. The patient was discharged home in less than 24 hours. Pathological examination revealed ganglioneuroma. CONCLUSIONS: Robotic approach for adrenalectomy in pediatric patients is a safe and feasible technique. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e225-e225 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Amr A. Elbakry More articles by this author David Zekan More articles by this author Michael Ost More articles by this author Osama Al-Omar More articles by this author Expand All Advertisement Loading ...