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

Perioperative hemodynamic instability in patients undergoing laparoscopic adrenalectomy for pheochromocytoma

“…There are several studies documenting the use of robotic surgery in adrenal glands pathology. Although it is associated with additional costs the intraoperative blood loss and length of stay may be reduced comparing classical laparoscopy (41)(42)(43)(44). Importantly, pheochromocytomas may also carry a malignant potential.…”

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.…”

“…20 This meta-analysis of nine studies, eight retrospective observational and one randomized controlled trial, included 600 patients (277 RA vs 323 LA). Although they did not observe any difference in terms of conversion rates, OR time, or postoperative complications, the robotic group was found to have less blood loss and a short hospital stay.…”

Single-site-Roboter-Adrenalektomie

“…Die endoskopische Adrenalektomie ist der heutige Standard für benigne, uni-und bilaterale Nebennierentumoren, besitzt jedoch Grenzen (zweidimensionale Darstellung, instabile Kameraposition, unvorteilhafte Ergonomik für Chirurg und Instrumentarium), die in den letzten Jahren den Einsatz der Robotertechnik auch in der Nebennierenchirurgie begünstigt haben, ohne dass, von den Kosten und der Lernkurve abgesehen, wesentliche Nachteile gegenüber der konventionellen endoskopischen Technik nachgewiesen wurden [4]. Die vorliegende Untersuchung stellt das neue Verfahren der Single-site-RoboterAdrenalektomie (SSRA) vor und analysiert das prozedurale Outcome.…”