Robot-assisted versus conventional laparoscopic adrenalectomy: Results from the EUROCRINE Surgical Registry

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dc.authoridVatansever, Safa/0000-0002-0303-6098
dc.authoridBrunaud, Laurent/0000-0001-5182-6660
dc.authoridRaffaelli, Marco/0000-0002-1259-2491
dc.authorscopusid57218144209
dc.authorscopusid6506759788
dc.authorscopusid7006600985
dc.authorscopusid7004613180
dc.authorscopusid8368936600
dc.authorscopusid6506075044
dc.authorscopusid7004770766
dc.authorwosidVatansever, Safa/GQP-2532-2022
dc.authorwosidBrunaud, Laurent/AAW-9384-2020
dc.authorwosidRaffaelli, Marco/M-9733-2018
dc.contributor.authorVatansever, Safa
dc.contributor.authorNordenstrom, Erik
dc.contributor.authorRaffaelli, Marco
dc.contributor.authorBrunaud, Laurent
dc.contributor.authorMakay, Ozer
dc.date.accessioned2023-01-12T19:58:23Z
dc.date.available2023-01-12T19:58:23Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractBackground: Adrenalectomy is routinely performed via the minimally invasive approach. Safety of adrenalectomy using the robot-assisted technique has been widely demonstrated by several series, but the literature is scarce regarding the comparison of conventional laparoscopic versus robot-assisted approach. We decided to carry out a multicenter study to compare clinical and surgical outcomes be-tween laparoscopic and robotic adrenalectomy. Methods: This is a retrospective case-control study, including data from centers affiliated to the Surgical Registry EUROCRINE. Patients undergoing laparoscopic surgery for adrenal tumors and registered be-tween 2015 and 2018 were included. Robot-assisted versus laparoscopic adrenalectomy was compared. All comparisons were carried out in terms of complication rate, conversion rate and duration of stay. Results: A total of 1,005 patients from 46 clinics underwent robotic or conventional laparoscopic adre-nalectomy. Median age was 55 (interquartile range: 45-65) years. Robotic adrenalectomy was performed in 189 (18.8%) patients. According to Clavien-Dindo classification, complication rate was lower in the robotic surgery group (1.6% vs 16.5%, P < .001). Laparoscopic surgery and active hormonal status were significantly correlated with complications, both in univariate and multivariate analysis. There was no significant difference between laparoscopic and robotic surgery groups, in terms of conversion rate (2.1% vs 0.5%, respectively, P = .147). Duration of stay was shorter in the robotic adrenalectomy group (82.1% vs 28.8%, P < .001). Conclusion: Analysis of the EUROCRINE database supports that robotic adrenalectomy resulted in a lower complication rate and shorter duration of stay, compared with laparoscopic adrenalectomy. Granular data to support this is warranted. (C) 2021 Published by Elsevier Inc.en_US
dc.identifier.doi10.1016/j.surg.2021.12.003
dc.identifier.endpage1230en_US
dc.identifier.issn0039-6060
dc.identifier.issue5en_US
dc.identifier.pmid35027208en_US
dc.identifier.scopus2-s2.0-85122623263en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1224en_US
dc.identifier.urihttps://doi.org/10.1016/j.surg.2021.12.003
dc.identifier.urihttps://hdl.handle.net/11454/76879
dc.identifier.volume171en_US
dc.identifier.wosWOS:000821656900015en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofSurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMinimally Invasive Adrenalectomyen_US
dc.subjectSurgeryen_US
dc.subjectTransperitonealen_US
dc.subjectOutcomesen_US
dc.subjectPheochromocytomaen_US
dc.subjectImpacten_US
dc.titleRobot-assisted versus conventional laparoscopic adrenalectomy: Results from the EUROCRINE Surgical Registryen_US
dc.typeArticleen_US

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