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Nov 05, 2021

Completed the first domestic translumber single-port robotic adrenal tumor resection

The operation time is 1 hour, the incision size is only 3cm, and the intraoperative bleeding is 10ml... On November 2, 40-year-old Mr. Zhu (a pseudonym) underwent an adrenal tumor resection at the Second Affiliated Hospital of Nanjing Medical University. This operation is the first case in China Trans-lumbar single-port robotic adrenal tumor resection. The chief surgeon is Professor Zhu Qingyi, director of the Department of Urology of the Second Affiliated Hospital.

 

The reporter learned that on the morning of November 2nd, the Second Affiliated Hospital of Nanjing Medical University held a "clinical project kick-off meeting" for the surgical sharp single-hole surgical robot, and conducted this clinical trial with three other large domestic medical institutions. Mr. Zhu is the project The first patient of the Second Affiliated Hospital. At present, the single-hole surgical robot project is recruiting urology-related surgical subjects, and the enrolled patients will be free of charge.

 

  Single hole robot


  Bleeding is only 10ml within 1 hour of surgery

 

   Mr. Zhu is 40 years old. Before admission, he went to the local hospital because of headache and fatigue. He found a round-like abnormal signal in the right adrenal junction. Considering the possibility of adenoma, the size is about 3cm×2cm. At the same time, he found multiple small cysts in both kidneys. In order to seek further diagnosis and treatment, Mr. Zhu was accompanied by his family to the Second Affiliated Hospital of Nanjing Medical University. The outpatient was admitted to the hospital with an adrenal tumor. According to Zhu Qingyi, the patient has had hypertension for more than 8 years, and the medication is not well controlled; combined with the patient's hypertension and hypokalemia, it is considered to be a functional adrenal tumor.

 

   In strict accordance with the requirements of the clinical trial, Mr. Zhu was informed in detail and signed a consent form for admission to the clinical trial, excluding surgical contraindications. On November 2nd, Mr. Zhu underwent a "single port robot right adrenal tumor resection" under general anesthesia. According to the chief surgeon expert Professor Zhu Qingyi, the operation adopts a retroperitoneal approach, which is the first translumbar single-port robotic adrenal tumor resection in China.

 

   Zhu Qingyi introduced that the operation uses a single small incision with a size of about 3cm. No auxiliary channels are added during the operation. The operation time is less than 1 hour. The intraoperative anatomy is accurate and the blood loss is only 10ml. The patient can recover quickly after the operation.

 

  Recruiting subjects


   All patients enrolled in the group will be free

 

   Compared with the porous laparoscopic surgical robot, the single hole not only has the advantages of precision and flexibility, but also has a series of advantages such as small trauma, no scars, surgical beauty, no external mechanical arm interference, and ability to adapt to narrow cavities.

 

   It is reported that adrenal tumors are divided into non-functional tumors and functional tumors. Common functional adrenal tumors include cortisolism, primary aldosteronism, and adrenal abnormalities. The single-port surgical robot clinical project underway in the Second Affiliated Hospital mainly focuses on four urological surgical categories, including partial nephrectomy, radical prostatectomy, adrenal tumor resection, and renal pelvic ureteroplasty. These operations have a common feature, that is, the specimens are relatively small.

 

   The project is currently recruiting urology-related surgery subjects, and all patients who meet the indications after screening will be free of charge. Intended patients can learn about the relevant situation through Director Zhu Qingyi's outpatient clinic. Director Zhu's outpatient clinic is every Monday morning and Wednesday afternoon.


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