The adrenal glands are small triangular-shaped glands located on top of each kidney. Although small in size, these glands play a vital role in regulating important hormones in the body, including cortisol, aldosterone, and adrenaline. Adrenal tumors, whether benign (adenoma) or malignant (carcinoma), develop when cells in the adrenal glands grow abnormally. The symptoms can vary and are often non-specific, making them easy to overlook. Some warning signs include high blood pressure that is difficult to control, unexplained weight gain or loss, chronic fatigue, excessive sweating, and pain in the back or upper abdomen. If left untreated, adrenal tumors can continue to grow, severely disrupt hormonal balance, and potentially become cancerous and spread to other organs.
dr. Hendy Mirza, Sp.U (K), a urology consultant at Mandaya Royal Hospital Puri, successfully performed adrenal tumor removal surgery on a patient using the state-of-the-art da Vinci Xi robotic surgical system. This procedure demonstrates how advancements in robotic surgery technology can provide optimal outcomes for patients with significantly lower risks.
Contents
Patient Condition Explained by dr. Hendy
According to dr. Hendy, the patient initially did not experience any significant symptoms. The adrenal tumor was discovered during a routine medical check-up. This serves as a reminder of how important regular health screenings are, even for individuals who feel perfectly healthy.
“This patient actually came from a screening process during a medical check-up. There was a mass, or tumor, found in the right adrenal gland,” explained dr. Hendy.
What became a serious concern was the tumor’s growth rate. Within only six months, the tumor grew significantly from 2 cm to 3.3 cm. Rapid growth like this is a strong indication that immediate treatment is necessary, as larger tumors become more complex to remove and carry higher risks.
Considering the condition, dr. Hendy decided to use the da Vinci Xi robotic surgical system as the best approach for this patient. The results were highly satisfying, with the surgery completed smoothly in approximately 2 hours. After a short observation period of 1–2 days, the patient was expected to be discharged.
What Is the da Vinci Xi Robot and What Are Its Advantages?
The da Vinci Xi Robot is the latest-generation robotic surgical system designed to support minimally invasive surgical procedures with high precision.
The da Vinci Xi is equipped with four high-tech robotic arms fully controlled by the surgeon through a high-resolution 3D camera console. This technology allows doctors to view the target organs with far greater clarity and detail compared to conventional surgery.
In addition, its slim and flexible arm design can move similarly to the human wrist, enabling access to narrow and difficult-to-reach areas. This directly contributes to a higher surgical success rate.
So, why did dr. Hendy choose the da Vinci Xi system for this case? Here are several advantages he highlighted:
1. Faster and More Precise Procedure
With the help of the da Vinci Xi robot, surgical procedures can be completed much faster. In this case, the removal of the 3.3 cm adrenal tumor was successfully completed in around 2 hours.
2. Elimination of Tremor
One of the challenges in conventional surgery is hand tremor, especially during procedures that require extremely delicate movements. The da Vinci Xi robotic system automatically filters out tremors, making every surgical instrument movement far more stable and accurate.
3. Minimizing Human Error
With its high level of precision, the da Vinci Xi robot helps reduce the potential for human error during surgery. This is especially crucial in procedures involving sensitive areas such as the adrenal glands.
4. Minimal Surgical Incisions
The incisions made during this procedure are generally only around 0.8 to 1 cm, significantly smaller than those in open surgery or conventional laparoscopy. Smaller incisions mean lower infection risks and better cosmetic results for patients.
5. Lower Risk of Bleeding
The minimal incision size directly contributes to a lower risk of bleeding during and after surgery compared to conventional laparoscopic or open surgical procedures.
6. Shorter Hospital Stay and Recovery Time
Because the procedure is minimally invasive, patients undergoing surgery with the da Vinci Xi system generally recover more quickly. In this case, dr. Hendy estimated that the patient could be discharged within just 1–2 days after surgery.
When Should You Be Concerned About an Adrenal Tumor?
Adrenal tumors do not always show obvious symptoms in the early stages, which is why they are often detected only after they have grown significantly or are accidentally found during routine health examinations. However, there are several symptoms that should not be ignored. Symptoms can vary from person to person — some experience symptoms because the tumor presses on surrounding organs, while others experience hormonal imbalances caused by the tumor.
In general, the following symptoms should be taken seriously:
- Abdominal pain
- Back pain
- Feeling full or bloated in the abdomen
- Muscle cramps
- Weakness or fatigue
- Headaches
If you experience the symptoms above, do not ignore them. Consult a doctor so the underlying cause can be diagnosed accurately and treated appropriately.
Profile and Practice Schedule of dr. Hendy, Sp.U (K) at Mandaya Royal Hospital Puri
dr. Hendy Mirza, Sp.U (K) is a urology consultant who completed his medical education at the Faculty of Medicine, University of North Sumatra, before continuing his urology specialist training at the University of Indonesia. To further enhance his expertise, he also completed fellowship programs in Pediatric Reconstruction and Laparoscopy at the same institution, earning the title of Pediatric Urology Consultant.
His areas of expertise include various urological procedures, ranging from kidney surgery, PCNL (Percutaneous Nephrolithotomy), TURP, ureterorenoscopy, prostate biopsy, to ESWL. His strong educational background combined with mastery of modern surgical technologies, including the da Vinci Xi robotic system, makes dr. Hendy one of the leading choices for patients requiring precise and comprehensive urological treatment.
dr. Hendy Mirza, Sp.U (K) is available for consultation at Mandaya Royal Hospital Puri on:
- Monday: 4:00 PM – 7:00 PM WIB
- Wednesday: 4:00 PM – 7:00 PM WIB
- Friday: 4:00 PM – 7:00 PM WIB
To make your visit to Mandaya Royal Hospital Puri easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to simplify visits, check queue numbers, and access complete information.
The information available on this page is provided for educational and general informational purposes only and does not represent the full range of medical services that may be performed by each doctor. To ensure treatment that suits your medical condition, direct consultation with the relevant doctor is recommended.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
