Robot-assisted vs laparoscopic adrenalectomy: a prospective randomized controlled trial

Abstract

Laparoscopic adrenalectomy is superior to robot-assisted adrenalectomy in terms of feasibility, morbidity, and cost.

Robotic Versus Laparoscopic Adrenalectomy: A Systematic Review and Meta-analysis

“…The authors noted a statistically significant decrease in the conversion rate with increasing surgical experience [21].…”

“…Five of them compared consecutive series of patients (level of evidence [LE]: 3a) [14], [15], [16], [17] and [18], and two performed a retrospective nonconsecutive study (LE: 3b) [19] and [20]. Only one of the studies was an RCT (LE: 2b) [21].…”

“…Only one RCT of low quality was identified. The authors did not describe the method of randomization and also did not report how the study was powered [21].…”

“…In the Brunaud et al study, all four robot conversions were to the laparoscopic approach [17]. Morino et al reported five conversions in the laparoscopic group including four to hand-assisted laparoscopy and one to open surgery [21]. Two studies had no conversions in both groups [15] and [20].…”

“…In the robot-assisted group, there was one grade 3 complication in two studies [16] and [17]. In his RCT study, Morino et al demonstrated that robot-assisted surgery is comparable with conventional laparoscopy in terms of postoperative morbidity and mortality [21].…”