ArticleSurgical endoscopy2022
Robot-assisted vs laparoscopic lateral transabdominal adrenalectomy: a propensity score matching analysis.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Does Robotic Adrenalectomy Outperform Laparoscopic Approaches in Obese Patients? A Systematic Review and Subgroup Meta-Analysis of 1,107 Patients.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Pooled it
- Risk factors for early postoperative complications after minimally invasive adrenalectomy: a single-centre retrospective cohort study of more than 800 patients.Surgical endoscopy · 2026Article
- The Benign COMPARE Study: Comparing Perioperative Outcomes of Benign Minimally Invasive Laparoscopic, da Vinci Robotic, and Open Procedures: A Systematic Review and Meta-Analysis of Evidence.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Robotic adrenalectomy: comparison of DaVinci, HUGO™-RAS and VersiusUpdates in surgery · 2026Article
- Review
- Transition to robotic adrenalectomy: a surgeon-specific learning curve evaluation.Journal of robotic surgery · 2026Article
- [Robotic vs. laparoscopic adrenalectomy for adrenal tumors].Chirurgie (Heidelberg, Germany) · 2026Review
- Robotic adrenalectomy achieves shorter operative time than laparoscopic approach: a propensity score-matched analysis.Journal of robotic surgery · 2025Article
- Robotic adrenalectomy: a comprehensive review of perioperative outcomes, comparative efficacy, and technological advancements.Journal of robotic surgery · 2025Review
- Robotic vs. Laparoscopic Adrenalectomy for Pheochromocytoma-A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Single-Port Robotic Posterior Retroperitoneoscopic Adrenalectomy: Current Perspectives, Technical Considerations, and Future Directions.Journal of clinical medicine · 2025Review
- Laparoscopic vs. Robotic transabdominal adrenalectomy- propensity matched analysis and learning curve.Langenbeck's archives of surgery · 2025Article
- The application of augmented reality in robotic general surgery: A mini-review.Open medicine (Warsaw, Poland) · 2025Review
- [Robotic adrenalectomy-current evidence].Chirurgie (Heidelberg, Germany) · 2024Review
- Side-specific factors for intraoperative hemodynamic instability in laparoscopic adrenalectomy for pheochromocytoma: a comparative study.Surgical endoscopy · 2024Article
- Safety and surgical outcomes of robotic adrenalectomy from a 15-year experience at a single institution.Scientific reports · 2024Article
- Robot-assisted vs laparoscopic bariatric procedures in super-obese patients: clinical and economic outcomes.Journal of robotic surgery · 2024Article
- Adoption of Robotic Adrenalectomy: A Two-Institution Study of Surgeon Learning Curve.Annals of surgical oncology · 2023Article
- Robotic-assisted laparoscopic adrenalectomy (RARLA): What advantages and disadvantages compared to retroperitoneal laparoscopic adrenalectomy (RLA)?Frontiers in endocrinology · 2023Article
- The new robotic platform Hugo™ RAS for lateral transabdominal adrenalectomy: a first world report of a series of five cases.Updates in surgery · 2023Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic adrenalectomy (LA) is the gold standard treatment for adrenal lesions. Robot-assisted adrenalectomy (RAA) is a safe approach, associated with higher costs in absence of clear-cut benefits. Several series reported some advantages of RAA over LA in challenging cases, but definitive conclusions are lacking. We evaluated the cost effectiveness and outcomes of robotic (R-LTA) and laparoscopic (L-LTA) approach for lateral transabdominal adrenalectomy in a high-volume center.
methodsAmong 356 minimally invasive adrenalectomies (January 2012-August 2021), 286 were performed with a lateral transabdominal approach: 191 L-LTA and 95 R-LTA. The R-LTA and L-LTA patients were matched for lesion side and size, hormone secretion, and BMI with propensity score matching (PSM) analysis. Postoperative complications, operative time (OT), postoperative stay (POS), and costs were compared.
resultsPSM analysis identified 184 patients, 92 in R-LTA and 92 in L-LTA group. The two groups were well matched. The median lesion size was 4 cm in both groups (p = 0.533). Hormonal hypersecretion was detected in 55 and 54 patients of R-LTA and L-LTA group, respectively (p = 1). Median OT was significantly longer in R-LTA group (90.0 vs 65.0 min) (p < 0.001). No conversion was registered. Median POS was similar (4.0 vs 3.0 days in the R-LTA and L-LTA) (p = 0.467). No difference in postoperative complications was found (p = 1). The cost margin analysis showed a positive income for both procedures (3137 vs 3968 € for R-LTA and L-LTA). In the multiple logistic regression analysis, independent risk factors for postoperative complications were hypercortisolism (OR = 3.926, p = 0.049) and OT > 75 min (OR = 8.177, p = 0.048).
conclusionsThe postoperative outcomes of R-LTA and L-TLA were similar in our experience. Despite the higher cost, RAA appears to be cost effective and economically sustainable in a high-volume center (60 adrenalectomies/year), especially if performed in challenging cases, including patients with large (> 6 cm) and/or functioning tumors.
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