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Procedures were performed via a transperitoneal approach using the da Vinci Xi\n                      <jats:sup>\u00ae<\/jats:sup>\n                      system and managed under an ERAS protocol incorporating multimodal analgesia, early mobilisation, and omission of postoperative drains and catheters. A transversus abdominis plane (TAP) block was administered intraoperatively for analgesia. Outcomes included operative metrics, perioperative complications, 30-day readmissions, and patient-reported satisfaction measured by the Evaluation du V\u00e9cu de l\u2019Anesth\u00e9sie G\u00e9n\u00e9rale (EVAN-G) questionnaire.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirteen patients were included. The median age was 49.0 years (46.0\u201360.0), and the median BMI was 30.0\u00a0kg\/m\u00b2 (28.0\u201336.5). Most patients were male (61.5%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098), all were ASA grade 2, and 69.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099) had an ECOG performance status of 0. The median estimated blood loss was 10.0 mL (5.0\u201310.0) and the median operative time was 56.0\u00a0min (30.5\u201375.0\u00a0min). A history of prior abdominal surgery was present in 38.5% of patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095). Indications included primary hyperaldosteronism (69.2%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099), androgen-producing tumour (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), RCC metastasis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), and adrenocortical carcinoma (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092). No intraoperative or postoperative complications occurred, no patients required readmission, and the median EVAN-G score was 94 (91\u201396). On preoperative imaging, the median tumour size was 16.0\u00a0mm (13.0\u201326.5\u00a0mm). Postoperative pathological analysis reported a median adrenal gland size of 63.0\u00a0mm (50.0\u201372.5\u00a0mm) and a median lesion size of 15.0\u00a0mm (9.0\u201322.5\u00a0mm).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Day-case robotic adrenalectomy performed under an ERAS protocol is safe and well-tolerated in selected patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-026-06465-3","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T10:43:20Z","timestamp":1778755400000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Day-case robotic adrenalectomy under ERAS protocol: early outcomes from a single-centre experience"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6753-7206","authenticated-orcid":false,"given":"Alberto","family":"Costa Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aishwarya","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safwaan","family":"Adam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Ho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awanish","family":"Shukla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aziz","family":"Gulamhusein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"6465_CR1","doi-asserted-by":"crossref","unstructured":"Michel Gagner (1992) Laparoscopic adrenalectomy in Cushing\u2019s syndrome and pheochromocytoma. 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