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<p>Robot-assisted surgical techniques have become increasingly established in general and visceral surgery over the past 15&#xa0;years. This also applies to adrenalectomy, a&#xa0;purely resective procedure that does not require complex reconstruction. The current standard remains minimally invasive surgery, performed either laparoscopically or retroperitoneoscopically. Do a&#xa0;number of perceived advantages—such as stable three-dimensional visualization, articulated instruments, and an additional “hand” for the surgeon—justify the still considerably higher costs of robotic-assisted surgery? Current evidence suggests minor benefits of robotic surgery in certain operative and complication-related parameters, although these advantages appear to have limited relevance in everyday clinical practice. A&#xa0;broader perspective, however, indicates that the question raised will soon become obsolete, as robot-assisted techniques are likely to become standard practice in the near future.</p>

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Robotische oder laparoskopische Adrenalektomie bei Nebennierentumoren?

  • 期刊论文

  • 发表日期：

    2026年1月15日

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  • Maximilian Chaurasia,
  • Peter Langer

摘要

Robot-assisted surgical techniques have become increasingly established in general and visceral surgery over the past 15 years. This also applies to adrenalectomy, a purely resective procedure that does not require complex reconstruction. The current standard remains minimally invasive surgery, performed either laparoscopically or retroperitoneoscopically. Do a number of perceived advantages—such as stable three-dimensional visualization, articulated instruments, and an additional “hand” for the surgeon—justify the still considerably higher costs of robotic-assisted surgery? Current evidence suggests minor benefits of robotic surgery in certain operative and complication-related parameters, although these advantages appear to have limited relevance in everyday clinical practice. A broader perspective, however, indicates that the question raised will soon become obsolete, as robot-assisted techniques are likely to become standard practice in the near future.