• Robotic vs. Laparoscopic Adren...

Treffer: Robotic vs. Laparoscopic Adrenalectomy: A Comprehensive Comparison of Surgical Outcomes and Influencing Operative Time.

Title:
Robotic vs. Laparoscopic Adrenalectomy: A Comprehensive Comparison of Surgical Outcomes and Influencing Operative Time.
Authors:
Okamura Y; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Suzuki K; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Bando Y; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Hara T; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Okada K; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Terakawa T; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Hyodo Y; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Chiba K; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Teishima J; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan., Miyake H; Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Source:
International journal of urology : official journal of the Japanese Urological Association [Int J Urol] 2025 Dec; Vol. 32 (12), pp. 1802-1807. Date of Electronic Publication: 2025 Sep 02.
Publication Type:
Journal Article; Comparative Study
Language:
English
Journal Info:
Publisher: Blackwell Science Asia Country of Publication: Australia NLM ID: 9440237 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1442-2042 (Electronic) Linking ISSN: 09198172 NLM ISO Abbreviation: Int J Urol Subsets: MEDLINE
Imprint Name(s):
Publication: Carlton South, Vic. : Blackwell Science Asia
Original Publication: Tokyo ; New York : Churchill Livingstone, c1994-
MeSH Terms:
Adrenalectomy*/methods , Adrenalectomy*/adverse effects , Adrenalectomy*/statistics & numerical data , Robotic Surgical Procedures*/adverse effects , Robotic Surgical Procedures*/statistics & numerical data , Robotic Surgical Procedures*/methods , Laparoscopy*/adverse effects , Laparoscopy*/methods , Laparoscopy*/statistics & numerical data , Operative Time* , Adrenal Gland Neoplasms*/surgery , Adrenal Gland Neoplasms*/pathology , Postoperative Complications*/epidemiology , Postoperative Complications*/etiology, Humans ; Male ; Female ; Middle Aged ; Length of Stay/statistics & numerical data ; Retrospective Studies ; Aged ; Treatment Outcome ; Adult ; Blood Loss, Surgical/statistics & numerical data ; Tumor Burden ; Body Mass Index
References:
M. Gagner, A. Lacroix, and E. Bolte, “Laparoscopic Adrenalectomy in Cushing's Syndrome and Pheochromocytoma,” New England Journal of Medicine 327 (1992): 1033.
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S. Horgan and D. Vanuno, “Robots in Laparoscopic Surgery,” Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 11, no. 6 (2001): 415–419, https://doi.org/10.1089/10926420152761950.
L. Brunaud, L. Bresler, A. Ayav, et al., “Robotic‐Assisted Adrenalectomy: What Advantages Compared to Lateral Transperitoneal Laparoscopic Adrenalectomy?,” American Journal of Surgery 195, no. 4 (2008): 433–438.
E. Nordenström, J. Westerdahl, P. Hallgrimsson, and A. Bergenfelz, “A Prospective Study of 100 Robotically Assisted Laparoscopic Adrenalectomies,” Journal of Robotic Surgery 5, no. 2 (2011): 127–131, https://doi.org/10.1007/s11701‐011‐0243‐1.
M. Piccoli, F. Pecchini, F. Serra, et al., “Robotic Versus Laparoscopic Adrenalectomy: Pluriannual Experience in a High‐Volume Center Evaluating Indications and Results,” Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 31, no. 4 (2021): 375–381, https://doi.org/10.1089/lap.2020.0839.
R. H. Grogan, “Current Status of Robotic Adrenalectomy in the United States,” Gland Surgery 9, no. 3 (2020): 840–843, https://doi.org/10.21037/gs.2020.03.37.
P. C. Giulianotti, N. C. Buchs, P. Addeo, et al., “Robot‐Assisted Adrenalectomy: A Technical Option for the Surgeon?,” International Journal of Medical Robotics and Computer Assisted Surgery 7, no. 1 (2011): 27–32, https://doi.org/10.1002/rcs.364.
K. P. Economopoulos, K. S. Mylonas, A. A. Stamou, et al., “Laparoscopic Versus Robotic Adrenalectomy: A Comprehensive Meta‐Analysis,” International Journal of Surgery 38 (2017): 95–104, https://doi.org/10.1016/j.ijsu.2017.01.096.
O. Agcaoglu, S. Aliyev, K. Karabulut, J. Mitchell, A. Siperstein, and E. Berber, “Robotic Versus Laparoscopic Resection of Large Adrenal Tumors,” Annals of Surgical Oncology 19, no. 7 (2012): 2288–2294, https://doi.org/10.1245/s10434‐012‐2296‐4.
E. Aksoy, H. E. Taskin, S. Aliyev, J. Mitchell, A. Siperstein, and E. Berber, “Robotic Versus Laparoscopic Adrenalectomy in Obese Patients,” Surgical Endoscopy 27, no. 4 (2013): 1233–1236, https://doi.org/10.1007/s00464‐012‐2580‐1.
D. Motoyama, Y. Matsushita, H. Watanabe, et al., “Robot‐Assisted Adrenalectomy Using a Hinotori Surgical Robot System: Report of First Series of Six Cases,” Asian Journal of Endoscopic Surgery 16, no. 3 (2023): 489–495, https://doi.org/10.1111/ases.13212.
H. Miyake and M. Fujisawa, “Early Experience and Future Prospects Regarding Use of Newly Developed Surgical Robot System, Hinotori, in the Field of Urologic Cancer Surgery,” International Journal of Clinical Oncology 29, no. 6 (2024): 640–646, https://doi.org/10.1007/s10147‐024‐02503‐5.
Contributed Indexing:
Keywords: adrenal tumor; adrenalectomy; laparoscopic surgery; robotic surgery
Entry Date(s):
Date Created: 20250903 Date Completed: 20251211 Latest Revision: 20251211
Update Code:
20251211
DOI:
10.1111/iju.70221
PMID:
40898661
Database:
MEDLINE

Weitere Informationen

Objectives: This study aimed to compare the perioperative outcomes of robotic adrenalectomy (RA) and laparoscopic adrenalectomy (LA) at Kobe University Hospital. We evaluated operation time, blood loss, complication rates, and hospital length of stay (LOS), as well as factors influencing operation time.
Methods: We reviewed data from patients who underwent RA or LA at Kobe University Hospital between April 2020 and June 2024. Patient characteristics, comorbidities, surgical outcomes, and complications were recorded. Linear and stepwise regression analyses were used to identify factors affecting operation time.
Results: A total of 89 LA cases and 49 RA cases were included. No significant differences were found between the groups in terms of operation time, blood loss, or LOS. Rates of surgical complications were comparable between groups. The stepwise regression model identified that laparoscopic technique, male sex, tumor size, and BMI were significant factors influencing operation time. In the RA group, tumor size and BMI had less of an effect on operation time compared to the LA group. Correlation analyses showed that the correlation between operation time and tumor size/BMI was higher in the LA group than in the RA group.
Conclusions: No significant differences were found between RA and LA in terms of perioperative outcomes, though tumor size and BMI may have less of an effect on operation time in RA. These findings support the clinical use of robotic adrenalectomy, particularly in patients with high BMI or large tumors, although further studies are needed.
(© 2025 The Japanese Urological Association.)