• Nikola Knežević, Luka Penezić, Tomislav Kuliš, Toni Zekulić, Hrvoje Saić, Tvrtko Hudolin, and Željko Kaštelan.
• Luka Penezić, Kišpatićeva 12, 10000 Zagreb, Croatia, penezic.luka@gmail.com.
• Croat. Med. J. 2022 Apr 30; 63 (2): 197-201.

AbstractWe present a case series of 12 consecutive robot-assisted adrenalectomies performed from May 2019 to March 2020 by a single surgeon experienced in laparoscopy using the novel Senhance robotic system. Eleven patients had primary aldosteronism due to an adrenal adenoma, diagnosed by means of endocrinological and radiological evaluation, and 1 had a benign adrenal cyst. The robotic adrenalectomy technique is described in detail. The mean procedure time was 165.1 minutes, with robotic docking time of 11.6 minutes and console time of 98.6 minutes. The mean estimated blood loss was 47 mL, and hospital stay duration was 4.5 days. There was 1 Clavien Dindo IIIB complication and 1 patient underwent conversion to laparoscopy. All patients with adenoma had complete biochemical remission after surgery. In conclusion, the Senhance robotic system is a safe and feasible platform for benign adrenal surgery in high-volume centers.

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