{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:23:58Z","timestamp":1791872638120,"version":"4.3.4"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obesity poses technical challenges in adrenalectomy. Robotic adrenalectomy (RA) offers advantages over laparoscopic adrenalectomy (LA), but evidence in obese patients remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A meta\u2010analysis of comparative studies through 2025 assessed perioperative outcomes of RA versus LA, with subgroup analyses by body habitus (obese vs. non\u2010obese) and surgical approach (lateral transabdominal [LT] vs. posterior retroperitoneal [PR]). Primary outcomes included operative time (OT), blood loss (EBL), hospital stay (LOHS), complications, conversion, and mortality. Study quality was evaluated using the Newcastle\u2013Ottawa Scale, and certainty was assessed using the GRADE approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eight studies (1107 patients) were included. RA was associated with reduced EBL (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and shorter LOHS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), with no other significant differences. Subgroup analysis showed shorter LOHS in non\u2010obese LA patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03). PR showed a shorter LOHS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001) compared with LT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RA provides perioperative benefits, particularly reduced blood loss and shorter hospital stay, without compromising safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70169","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T16:55:10Z","timestamp":1776704110000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does Robotic Adrenalectomy Outperform Laparoscopic Approaches in Obese Patients? 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