Is robot assisted- retroperitoneal adrenalectomy safe? An investigation of perioperative hypertensive crisis among hypertensive and normotensive patients.

BACKGROUND /Objective: We examined the incidence of perioperative hypertensive crisis in robot-assisted retroperitoneal laparoscopic adrenalectomy. METHODS A consecutive series of 120 patients with adrenal tumors undergoing robot-assisted retroperitoneal laparoscopic adrenalectomy were included. Patients were divided into two groups: group A (hypertension group, 58 cases, mean age 43.59 years) and group B (normotension group, 62 cases, mean age 48.01 years). General anesthesia was applied using endotracheal intubation and hemodynamic changes were closely monitored. RESULTS A total of 9 (7.5%) hypertensive crisis cases were observed. After intravenous infusion of sodium nitroprusside, 7 cases of them were quickly controlled, and 2 cases experienced transient severe hypertension. The incidence of hypertensive crisis was 13.7% and 1.6% in groups A and B, respectively (p< 0.05). CONCLUSION These findings highlight the importance of strengthening the monitoring of anesthesia and taking various measures to effectively control the blood pressure in robot-assisted retroperitoneal laparoscopic adrenalectomy, especially among hypertensive patients. This article is protected by copyright. All rights reserved.