ArticleSurgical endoscopy2021
Perioperative outcomes of robotic and laparoscopic adrenalectomy: a large international multicenter experience.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Clinical and Biochemical Outcomes of Super-Selective Adrenal Artery Embolization in Primary Aldosteronism: A Systematic Review and Meta-Analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2025Pooled it
- Robotic posterior retroperitoneal adrenalectomy versus laparoscopic posterior retroperitoneal adrenalectomy: outcomes from a pooled analysis.Frontiers in endocrinology · 2023Pooled it
- Article
- Review
- [Robotic vs. laparoscopic adrenalectomy for adrenal tumors].Chirurgie (Heidelberg, Germany) · 2026Review
- Surgery for adrenal gland disease. Experience of a tertiary center.Surgery open science · 2026Article
- Tailored surgery for large adrenal tumors: the minimally invasive to open (hybrid) approach.Updates in surgery · 2026Article
- Robotic versus laparoscopic adrenalectomy: five-year comparative outcomes from a high-volume tertiary endocrine surgery center.Journal of robotic surgery · 2026Article
- Current state-of-the-art of adrenal surgery in Italy: the cancer risk in surgical adrenal lesions (CRISAL) survey.Updates in surgery · 2025Article
- Robotic vs. Laparoscopic Adrenalectomy for Pheochromocytoma-A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Retrospective analysis of robotic versus laparoscopic surgery in the treatment of giant pheochromocytoma and paraganglioma.Journal of robotic surgery · 2025Article
- Laparoscopic vs. Robotic transabdominal adrenalectomy- propensity matched analysis and learning curve.Langenbeck's archives of surgery · 2025Article
- Robotic Versus Laparoscopic Adrenalectomy for Adrenal Tumors: An Up-to-Date Meta-Analysis on Perioperative Outcomes.Cancers · 2025Review
- Centralization of adrenal surgeries and improved surgeon volume outcomes.Gland surgery · 2024Article
- Safety and surgical outcomes of robotic adrenalectomy from a 15-year experience at a single institution.Scientific reports · 2024Article
- Comparison of perioperative outcomes between robot-assisted adrenalectomy and laparoscopic adrenalectomy: a propensity score matching analysis.Journal of robotic surgery · 2024Article
- Clinical predictors and significance of adherent periadrenal fat in laparoscopic adrenalectomy.BMC urology · 2023Article
- Robot-assisted adrenalectomy: Step-by-step technique and surgical outcomes at a high-volume robotic center.Asian journal of urology · 2023Article
- Robotic approach with neoadjuvant chemotherapy in adult Wilms' tumor: A feasibility study report and a systematic review of the literature.Asian journal of urology · 2023Review
- Surgical treatment of adrenal tumors during pregnancy.Reviews in endocrine & metabolic disorders · 2023Review
Corrections and comments
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Authors and funding
16 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study was to describe the surgical outcomes of a retrospective series of consecutive patients treated with laparoscopic and robotic approach for adrenal masses in two tertiary referral centers.
methodsWe retrospectively gathered data of 477 patients submitted to adrenalectomy performed at two Institutions from March 2008 to February 2018 by six highly experienced surgeons. We excluded from the analysis 43 patients that had an open approach for tumors or for anesthetic contraindications to minimally invasive surgery (MIS). Patients were selected for surgery after a radiologic and an endocrinology work up. Preoperative, perioperative and postoperative data were recorded.
resultsOverall, 477 patients were included in the study. The robotic and the laparoscopic group included 110 and 367 patients, respectively. The preoperative characteristics were similar in both groups except for ASA score with a median (IQR) of 3 and 2 in the robotic and in the laparoscopic group, respectively (p = 0.03). Tumor size of adrenal tumors treated robotically (4, IQR 2.6-6 cm) was significantly larger than those treated laparoscopically (3, IQR 2.3-4.1 cm) (p = 0.01). The intraoperative complication rates were similar between robotic and laparoscopic groups (6.3% and 6%, respectively). The postoperative complication rate was 5.4% for robotic group and similarly 3.5% for laparoscopic adrenalectomy strategy. We analyzed the tumor ≥ 6 cm, with 29 patients in the robotic group and 43 in the laparoscopic one, with an overall complication rate of 19.5%. At multivariable analyses tumor size (OR 1.287; CI 1.128-1.468; p < 0.001) was the only independent predictor of overall complication.
conclusionAdrenal tumors can be safely treated either by robotic or laparoscopic strategy. MIS seems to be feasible also in larger adrenal masses (≥ 6 cm). Tumor size represents the only predictive factors for overall complication.
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