Robotic Versus Laparoscopic Adrenalectomy: Pluriannual Experience in a High-Volume Center Evaluating Indications and Results

Background: Robotic adrenalectomy offers several clinical benefits if compared with laparoscopic adrenalectomy; however, its superiority is still under debate. The aim of this study was the investigation differences between two techniques, and a comparison when approaching right or left side adrenal lesions further conducted. Materials Methods: All patients undergoing robotic unilateral at our institution from January 2006 to December 2019 were collected retrospectively analyzed. Statistical analysis conducted; cohorts reported. Results: A total 160 cases included (84 in adrenalectomy-group [LA-g] 76 [RA-g]). groups homogeneous for demographic data. No intraoperative complications reported; mean amount blood loss comparable. conversion open surgery required. RA-g presented longer operative time than LA-g (P = .05), no noted .187). Overall morbidity 21% 10.5% .087), an inferior rate surgical .024), procedure .03). Length hospital stay shorter .005). Conclusions: presents similar outcomes as approach some selected cases. Left seem receive greater advantages technique. Large randomized controlled trials are required determine role indication can be standardized based on laterality procedure.