ReviewUpdates in surgery2017
Robot-assisted adrenalectomy: indications and drawbacks.
Review in Updates in surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 6 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Da Vinci platform robotic adrenalectomy for adrenal neoplasms: a GRADE-assessed systematic review and meta-analysis of prospective randomized trials comparing perioperative, postoperative, and economic outcomes with laparoscopic adrenalectomy.Journal of robotic surgery · 2026Pooled it
- Robotic-assisted versus laparoscopic adrenalectomy for large adrenal tumors: a systematic review and meta-analysis.International urology and nephrology · 2025Pooled it
- Minimally Invasive and Open Gastrectomy for Gastric Cancer: A Systematic Review and Network Meta-Analysis of Randomized Clinical Trials.Annals of surgical oncology · 2023Pooled it
- Comparing surgical outcomes of approaches to adrenalectomy - a systematic review and network meta-analysis of randomised clinical trials.Langenbeck's archives of surgery · 2023Pooled it
- Robotic posterior retroperitoneal adrenalectomy versus laparoscopic posterior retroperitoneal adrenalectomy: outcomes from a pooled analysis.Frontiers in endocrinology · 2023Pooled it
- Comparing the efficacy and safety of laparoscopic and robotic adrenalectomy: a meta-analysis and trial sequential analysis.Langenbeck's archives of surgery · 2020Pooled it
- Robotic adrenalectomy: comparison of DaVinci, HUGO™-RAS and VersiusUpdates in surgery · 2026Article
- Tailored surgery for large adrenal tumors: the minimally invasive to open (hybrid) approach.Updates in surgery · 2026Article
- Global research trends in robot-assisted adrenal surgery: a visualized bibliometric analysis.Journal of robotic surgery · 2026Review
- Persistent hypokalemia due to Conn's syndrome resolved by robot-assisted laparoscopic adrenalectomy. A correct diagnostic approach for proper surgical therapy. Case report.Journal of surgical case reports · 2025Article
- Adrenalectomy Performed with the Da Vinci Single-Port Robotic System: A Systematic Review and Pooled Analysis.Cancers · 2025Review
- Robotic Adrenalectomy and Clevidipine: A New Frontier in Pheochromocytoma Management Preliminary Study.Journal of clinical medicine · 2025Article
- Article
- The new robotic platform Hugo™ RAS for lateral transabdominal adrenalectomy: a first world report of a series of five cases.Updates in surgery · 2023Article
- Robot-assisted vs laparoscopic lateral transabdominal adrenalectomy: a propensity score matching analysis.Surgical endoscopy · 2022Article
- A 15-cm Adrenal Incidentaloma Suggested on Upper Endoscopy and Resected Laparoscopically.Cureus · 2022Article
- Robotic Adrenalectomy: An Initial Experience in a Turkish Regional Hospital.Frontiers in surgery · 2022Article
- Robot-assisted adrenalectomy: state of the art.Updates in surgery · 2021Review
- Robotic renal and adrenal oncologic surgery: A contemporary review.Asian journal of urology · 2021Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adrenal tumors can vary from a benign adrenocortical adenoma with no hormonal secretion to a secretory adrenocortical malignancy (adrenocortical carcinoma) or a hormone-secreting tumor of the adrenal medulla (pheochromocytoma). Currently, laparoscopic adrenalectomy is regarded as the preferred surgical approach for the management of most adrenal surgical disorders, although there are no prospective randomized trials comparing this technique with open adrenalectomy. However, widespread adoption of robotic technology has positioned robotic adrenalectomy as an option in some medical centers. Speculative advantages associated with the use of the robotic system have rarely been evaluated in clinical settings and cost increase remains an important drawback associated with robotic surgery. This review summarizes current available data regarding robotic transperitoneal adrenalectomy including its indications, advantages, limitations, and comparison with conventional laparoscopic adrenalectomy. We believe that the use of a robotic system seems to be useful especially in more difficult patients with larger tumors, truncal paragangliomas, and bilateral and/or partial adrenalectomies. Overall, we believe that overcosts due to robotic system use could be balanced by hospital stay decrease, patients' referral increase, improved postoperative outcomes in more difficult patients and ergonomics for the surgeon. However, we also believe that the current surgical intuitive business model is counterproductive, because there are no available strong clinical data that could balance overcosts associated with the use of the robotic system.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.