The goal of this multicenter, observational, analytic, randomized clinical trial is to analyze the laparoscopic and robot-assisted method in the surgical treatment of patients with adrenal diseases. The main question it aims to answer are: 1. to find the superiority of one the the surgical method mentioned above 2. to compare the quality of life in patients with adrenal mass before surgery and after laparoscopic or robotic-assisted adrenalectomy.
Study Type
OBSERVATIONAL
Enrollment
100
University hospital Olomouc
Olomouc, Czechia
RECRUITINGInitial examination 1
Initial examination by a urologist and indication for the surgery.
Time frame: 1 day
Initial examination 2
Sampling of biological material: Hemoglobin g/l
Time frame: 1 day
Surgical period 1
Measuring the operation time in minutes.
Time frame: 1 day
Surgical period 2
Measuring the blood loss in milliliters (ml).
Time frame: 1 day
Surgical period 3
Record the need for conversion to open surgery.
Time frame: 1 day
Surgical period 4
Record the surgical complications.
Time frame: 1 day
Surgical period 5
The consumption of special surgical instruments.
Time frame: 1 day
Perioperative period 1
Perioperatively, the length of stay in the ICU in days.
Time frame: from 3- 7 days
Perioperative period 2
Perioperatively, total hospitalization time in days
Time frame: from 3- 7 days
Perioperative period 3
Perioperatively, blood loss from the drain in mililiters (ml).
Time frame: from 3- 7 days
Perioperative period 4
Perioperatively, time to remove the abdominal drain in days.
Time frame: from 3- 7 days
Perioperative period 5
Perioperatively, need for blood substitutes.
Time frame: from 3- 7 days
Perioperative period 6
Perioperatively, number of forced surgical revisions.
Time frame: from 3- 7 days
Perioperative period 7
Perioperatively, consumption of analgesics during the hospitalization.
Time frame: from 3- 7 days
First post-operative check-up 1
First postoperative visit (14th to 20th postoperative day), sampling of biological material: Hemoglobin g/l
Time frame: 1 day of examination, 14- 20 days from the surgery
First post-operative check-up 2
First postoperative visit (14th to 20th postoperative day)- an analysis of perioperative and early postoperative complications according to the Dindo Clavien classification
Time frame: 1 day of examination, 14- 20 days from the surgery
First post-operative check-up 3
First postoperative visit (14th to 20th postoperative day)- necessary hospitalizations and operative revisions.
Time frame: 1 day of examination, 14- 20 days from the surgery
Second post-operative check-up 1
Second postoperative visit (85th to 100th postoperative day)- an analysis of late postoperative complications according to the Dindo Clavien classification.
Time frame: 1 day of examination, 85-100 days from the surgery
Second post-operative check-up 2
Second postoperative visit (85th to 100th postoperative day)- necessary hospitalizations and operative revisions
Time frame: 1 day of examination, 85-100 days from the surgery
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