Improving Minimally Invasive Adrenalectomy: Selection of Optimal Approach and Comparison of Outcomes

Abstract

Minimally invasive adrenalectomy is associated with expected excellent outcomes regardless of approach. In our series, the posterior approach is associated with decreased operative time and LOS. Robotic technology provides potential advantages for the surgeon at the expense of more complex setup requirements and costs. Further study is required to demonstrate clear benefit of one surgical approach. Utilization of the entire spectrum of available operative techniques can allow for selection of the optimal approach based on individual patient factors.

Retrospective comparison of three minimally invasive approaches for adrenal tumors: perioperative outcomes of transperitoneal laparoscopic, retroperitoneal laparoscopic and robot-assisted laparoscopic adrenalectomy

“…In the present study, we compared the perioperative outcomes of three minimally invasive adrenalectomy approaches, including RATLA, TLA, and RLA in a highvolume center. Only a few previous studies exist that compare the results for all these three widely used techniques for minimally invasive adrenalectomy [20,21]. Although the potential advantages to the surgeon have been shown in robotic adrenalectomy, most studies have demonstrated that the robotic approach has non-inferior oncologic results and perioperative outcomes, when compared with the laparoscopic approach [22].…”

Surgical quality of minimally invasive adrenalectomy for adrenocortical carcinoma: a contemporary analysis using the National Cancer Database

“…In these [11][12][13][14][15][16][17][18][19][20]. In light of the technical refinement and growing experience with MIA, we sought to perform a contemporary comparative analysis of surgical outcomes between OA and MIA for ACC [6,23,24].…”

Robot-assisted adrenalectomy: current perspectives

“…Most of these studies have been retrospective observational comparative studies, 13,14,[16][17][18][19][20][21][22][23][24]26 and only one of them was a randomized controlled trial. 15 One of the first series comparing LA with robotic adrenalectomy was by Morino et al who evaluated outcomes in 10 patients who underwent laparoscopic and robotic adrenalectomy.…”