Evidence map›Paper›PMID 42008360›Full record

SynthesisThe international journal of medical robotics + computer assisted surgery : MRCAS2026

Does Robotic Adrenalectomy Outperform Laparoscopic Approaches in Obese Patients? A Systematic Review and Subgroup Meta-Analysis of 1,107 Patients.

Ahmed Abdelsamad, Youssef Badie, Mohamed Elfakharany, Mohamed Elatrosh, Mohamed Elgohary, Eslam Elmaghraby, Florian Gebauer, Ralf Mike Langenbach, Khaled Mohamed

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The international journal of medical robotics + computer assisted surgery : MRCAS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ahmed AbdelsamadDepartment of Surgery II, University of Witten/Herdecke, Witten, Germany.ORCID https://orcid.org/0000-0002-5451-4504
Youssef BadieFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Mohamed ElfakharanyCore Surgical Trainee, Yorkshire and The Humber, Hull, UK.
Mohamed ElatroshFaculty of Medicine, Cairo University, Cairo, Egypt.
Mohamed ElgoharyFaculty of Medicine, New Giza University, Cairo, Egypt.
Eslam ElmaghrabyDepartment of Surgery, University Hospital Düsseldorf -UKD, Düsseldorf, Germany.
Florian GebauerDepartment of Surgery, University Hospital Helios Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0001-5312-4814
Ralf Mike LangenbachGeneral Surgery and GIT Surgery Head, Klinikum Lippstadt, Lippstadt, Germany.
Khaled MohamedFaculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity poses technical challenges in adrenalectomy. Robotic adrenalectomy (RA) offers advantages over laparoscopic adrenalectomy (LA), but evidence in obese patients remains limited.

methodsA meta-analysis of comparative studies through 2025 assessed perioperative outcomes of RA versus LA, with subgroup analyses by body habitus (obese vs. non-obese) and surgical approach (lateral transabdominal [LT] vs. posterior retroperitoneal [PR]). Primary outcomes included operative time (OT), blood loss (EBL), hospital stay (LOHS), complications, conversion, and mortality. Study quality was evaluated using the Newcastle-Ottawa Scale, and certainty was assessed using the GRADE approach.

resultsEight studies (1107 patients) were included. RA was associated with reduced EBL (p < 0.001) and shorter LOHS (p < 0.001), with no other significant differences. Subgroup analysis showed shorter LOHS in non-obese LA patients (p = 0.03). PR showed a shorter LOHS (p = 0.001) compared with LT.

conclusionsRA provides perioperative benefits, particularly reduced blood loss and shorter hospital stay, without compromising safety.

Indexed as

AdrenalectomyLaparoscopyObesityRobotic Surgical ProceduresBlood Loss, SurgicalFemaleHumansLength of StayMaleOperative TimePostoperative ComplicationsTreatment Outcomelaparoscopic adrenalectomymeta‐analysisminimally invasive surgeryobesityrobotic adrenalectomy

Identifiers

PMID42008360
PMCPMC13094886

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.