Understanding the Safety and Success Rates of Robotic Adrenal Gland Surgery
By Dr. Anup Ramani
Robotic adrenalectomy is revolutionizing adrenal gland surgery by offering a safer, more precise and less invasive alternative to traditional open procedures. This advanced approach is increasingly becoming the preferred method for managing adrenal tumors and other gland-related disorders. With the use of robotic technology, particularly the da Vinci Surgical System, Adrenal Gland treatment is now associated with reduced complication rates, shorter hospital stays and quicker recovery.
This article explains why robotic adrenalectomy is considered a highly effective and safe option, particularly for patients seeking Adrenal Gland treatment in Mumbai and other parts of India.
Why Robotic Surgery for Adrenal Gland is Gaining Popularity for Enhance Safety?
Lower Blood Loss
One of the standout benefits is significantly reduce intraoperative bleeding. Unlike open surgery, robotic techniques use micro instruments that reduce tissue trauma and promote nearly bloodless procedures, minimizing the need for blood transfusions.
Quicker Post-Operative Recovery
Patients who undergo robotic adrenalectomy typically walk on the same day of surgery, start oral intake by the next day and return to work within two weeks. The small incisions contribute to less pain, less need for postoperative medications and faster wound healing.
Reduced Hospital Stay
While traditional adrenal surgery might require a hospital stay of up to a week, robotic procedures allow discharge typically within four days – including the night before surgery – thanks to the minimal trauma and rapid recovery.
Safety of Robotic Adrenalectomy
Low Complication Rates
Robotic adrenalectomy has a low rate of complications compared to open and even laparoscopic techniques. Studies and clinical data indicate reduce risks of:
- Infections
- Hematoma formation
- Uncontrolled bleeding
- Postoperative hypotension
Minimal Conversion to Open Surgery
The need to switch to open surgery due to complications is rare. This demonstrates the reliability of the robotic approach.
Safe for High-Risk Patients
With enhanced control, Dr. Anup Ramani, a leading Adrenal Gland Surgeon, safely operates on obese patients or those with previous abdominal surgeries, expanding the eligibility for Adrenal Gland Surgery via robotics.
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Success Rates and Clinical Outcomes of Robotic Adrenal Gland Surgery
High Rate of Complete Tumor Removal
Robotic adrenalectomy enables complete excision of adrenal lesions, crucial for successful treatment outcomes. This applies to both functioning and non-functioning tumors.
Comparable or Superior to Open Surgery
Studies show equivalent or superior oncological results for robotic surgery compared to open adrenalectomy in terms of recurrence and long-term survival.
High Patient Satisfaction
Due to minimal scarring, reduced postoperative pain and quick return to normal activities, patients report high levels of satisfaction with robotic adrenalectomy outcomes.
Who Should Consider Robotic Adrenalectomy?
This surgical approach is suitable for a wide range of adrenal conditions, including:
- Adrenal adenomas
- Pheochromocytomas
- Cushing’s syndrome
- Conn’s syndrome
- Adrenal metastases
Patients diagnosed with these conditions should consider Adrenal Gland treatment in India through advanced methods, particularly if they prefer a minimal invasive route with faster recovery.
Conclusion
Robotic adrenalectomy stands out as a modern, safe and effective surgical option for adrenal gland disorders. With its minimal invasive approach, lower complication rates and rapid recovery, it provides both clinical efficacy and comfort for patients. Dr. Anup Ramani, a leading surgeon for those seeking Adrenal Gland treatment in Mumbai, offers world-class surgical care with outcomes that match or exceed traditional methods. As robotic technologies advance and become more widespread, the safety and success rates associated with this procedure are only expected to improve.
FAQs About Adrenal Gland Surgery
Is robotic adrenalectomy safer than traditional open surgery?
Yes. Robotic adrenalectomy offers enhanced safety through precise control, smaller incisions and significantly reduced complication rates.
What is the recovery time after robotic adrenal gland surgery?
Most patients return to daily activities within 2 weeks and resume heavy exercise by one-month post-surgery.
Is robotic adrenalectomy available across India?
Yes. Advanced hospitals, especially in cities like Mumbai, offer robotic surgery performed by trained specialists.
What are the long-term outcomes of robotic adrenalectomy?
Long-term outcomes are excellent, with low recurrence rates and high patient satisfaction when performed by experienced surgeons.
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PARTIAL PENECTOMY
- Partial penectomy is done in cases where glans and distal penis is involved with carcinoma.
- Partial penectomy is a type of organ-preserving surgery. Preservation of sexual and micturational function depends on the surgical dissection and reconstruction of residual urethra.
Kidney Stone Removal
- Patients who develop stones in the kidney or ureter, often experience severe pain.
- This condition usually needs a procedure to remove the kidney stones.
- This procedure is called ureteroscopy and is performed very commonly.
- It does not require any cuts and hence it is painless.
- The procedure is performed with an endoscope inserted through the penis under spinal anesthesia.
- The scope is inserted through the penis into the kidney and stones are dissolved with a laser.
- The procedure takes about 40-50 minutes.
- A catheter (urine pipe) is kept after the procedure to drain the bladder. A stent is kept in the kidney at the same time.
- Patient is mobile and walking in the room the same evening.
- Hospital stay is one night and patient is discharged the next day after removal of the catheter.
- Patient has to come back after six weeks to remove the stent in the kidney.
- Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
- We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
- Men with an enlarged prostate, which is a normal ageing changes, often experiencing difficulty passing urine. This condition usually needs a procedure to trim the prostate and relieve the blockage.
- This procedure is called TURP and is performed very commonly.
- It does not require any cuts and hence it is painless.
- The procedure is performed with an endoscope inserted through the penis under spinal anaesthesia.
- The overgrown prostate is dissolved with a laser bloodlessly.
- The procedure takes about 40 minutes.
- A catheter (urine pipe) is kept after the procedure to drain the bladder.
- Patient is mobile and walking in the room the same evening.
- Hospital stay is two nights and patient is discharged with the catheter, which is removed after 4 days.
- Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
- We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
ROBOTIC ADRENALECTOMY FOR ADRENAL GLAND TUMOUR
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Robotic adrenalectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
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Once the anesthesia is done, and patient positioned, three micro cuts (3mm each) are made in the patient’s abdomen.
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The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
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Dr. Ramani then sits in the controlling console to perform the surgery.
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On an average, a robotic adrenalectomy takes one hour.
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The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
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A urine catheter and bag to drain the bladder is inserted during surgery.
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A tiny drain pipe may be inserted in the surgical side of the abdomen, connected to a bag.
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Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
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The drain pipe, if kept, is removed in the room on day 2 after surgery.
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The catheter is removed on day two after surgery.
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Total hospital stay for robotic adrenalectomy is 4 nights (including night before surgery).
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Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home. Almost all patients are back to work within 2 weeks of surgery.
Heavy activities like running, weight lifting can be resumed after a month
FOLLOW UP AFTER SURGERY
Follow up after an adrenalectomy is in the form of CT scans, once a year for 5 years.
Local patients usually meet Dr. Ramani after two weeks to discuss report.Outstation patients are counselled on a phone consultation.
ROBOTIC SURGERY FOR BLADDER CANCER
- Dr. Ramani is one of the very few surgeons in India who has the expertise to perform a robotic surgery for bladder cancer, which includes removing the urinary bladder and reconstructing a new bladder robotically.
- Robotic radical cystectomy is an extremely sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
- Once the anaesthesia is done, and patient positioned, six micro cuts (3mm each) are made in the patient’s abdomen.
- The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
- Dr. Ramani then sits in the controlling console to perform the surgery.
- On an average, a robotic radical cystectomy with an ileal conduit takes 3-4 hours.
- The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
- A urine catheter and bag to drain the new bladder is inserted during surgery.
- Two tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
- Patient is kept nil-by-mouth for 4 days after surgery with IV supplementation of patient’s daily requirements of calories, fats, carbohydrates, proteins and electrolytes.
- The drain pipes are removed in the room on day 3-5 after surgery.
- Total hospital stay for radical cystectomy is 8 nights (including night before surgery).
- Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
- On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
- Almost all patients are back to work within 6 weeks of surgery. Heavy activities like running, weight lifting can be resumed after two months.
FOLLOW UP AFTER SURGERY
Follow up after a radical a cystectomy is in the form of CT scans, once a year for 5 years.
Histopathology report: Local patients usually meet Dr. Ramani after two weeks to discuss report.
Outstation patients are counselled on a phone consult. Depending on the report, patient may or may not need chemotherapy after surgery.
If chemo is needed, patients may choose to get it done with a medical oncologist of their choice or avail the services of one of the four medical oncologists on our team.
ROBOTIC RADICAL/PARTIAL NEPHRECTOMY FOR KIDNEY CANCER
- Robotic partial nephrectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications. Robotic radical (total) nephrectomy is
- relatively easier but still requires significant experience to consistently deliver results.
- Once the anaesthesia is done, and patient positioned, five micro cuts (3mm each) are made in the patient’s abdomen.
- The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
- Dr. Ramani then sits in the controlling console to perform the surgery.
- On an average, a robotic radical nephrectomy takes one hour and a robotic partial nephrectomy takes about an hour and half.
- The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
- A urine catheter and bag to drain the bladder is inserted during surgery.
- A tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
- Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
- The drain pipe is removed in the room on day 3 after surgery. The catheter is removed on day two after surgery.
- Total hospital stay for radical/partial nephrectomy is 4 nights (including night before surgery).
- Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
- On the day of discharge, patient is totally self- sufficient.
- They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
- Almost all patients are back to work within 2-3 weeks of surgery.
- Heavy activities like running, weight lifting can be resumed after a month.
FOLLOW UP AFTER SURGERY
- Follow up after a radical/partial Nephrectomy is in the form of CT scans, once a year for 5 years.
- Local patients usually meet Dr. Ramani after two weeks to discuss report.
- Outstation patients are counselled on a phone consultation.