#0087

Holographic Imaging-assisted Robotic Partial Adrenalectomy for Adrenal Tumor: Technique and Outcomes from a Single Center

k. zhang¹, g. Zhu¹, D. O’Reilly²

¹beijing united family hospital and clinics, urology, beijing, China
²beijing united family hospital and clinics, surgery, beijng, Ireland

Introduction:

In the era of artificial intelligence (AI), the combination of holographic imaging technique with robotic-assisted partial adrenalectomy (RAPA) has been underused. We aimed to report the holographic imaging technique, surgical technique, and perioperative outcomes of a holographic imaging-assisted RAPA series.

Material and methods:

Data of 9 consecutive patients who underwent holographic imaging-assisted RAPA for adrenal tumor from February 2023 to August 2024 were retrospectively collected and analyzed. Before surgery, engineers established the holographic image models based on the enhanced CT data. The models were used in patient consultation, surgical planning and surgical procedure simulation. During the procedure, the intraoperative navigation was achieved by real- time overlapping of the holographic images on the robotic surgery endoscopic views. The transperitoneal approach was used in RAPA and the normal adrenal tissue were preserved.

Results:

All the cases were completed robotically. Median tumor size was 14 mm (interquartile range (IQR) 8.5-16.5). The median operative time was 80 minutes (IQR 55-112.5), and the median estimated blood loss was 10 ml (IQR 5-20). Pain level on POD 1 was 2 (IQR 0.5-2.5). There were no Clavien-Dindo≥2 perioperative complications. Median hospital stay was 3 days (IQR 2–4.5). At a median follow-up of 5 months (IQR 2-11.5) and no recurrence was found by imaging.