{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:24:33Z","timestamp":1791872673992,"version":"4.3.4"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005743","name":"Universit\u00e0 Cattolica del Sacro Cuore","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005743","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Robot-assisted adrenalectomy (RAA) has emerged as an advantageous approach in challenging cases and suspicious lesions, although high costs represent the main drawback to its broader application. Besides Da-Vinci, new platforms have been recently launched on the market and need to be validated in clinical practice. DaVinci, HUGO\u2122-RAS and Versius\n                    <jats:sup>\u00ae<\/jats:sup>\n                    platforms were introduced in our center in 2012, 2022, and 2024, respectively. We aimed to compare the perioperative outcomes of these robotic platforms. Among 730 adrenalectomies (2012\u20132024), 149 (20.4%) RAAs were performed. All procedures performed by means of HUGO\u2122-RAS and Versius\n                    <jats:sup>\u00ae<\/jats:sup>\n                    platforms were compared with similar procedures (in terms of patient\u2019s and lesion\u2019s features) performed with\u00a0the DaVinci technology in the same period (2022\u20132024). Ten patients were included in each group. Patients\u2019 and lesions\u2019 features were similar. Median BMI and lesions' size were 27.9, 24.9, and 26.1\u00a0kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    and 42.5, 42.5, and 32.5\u00a0mm in DaVinci, HUGO\u2122-RAS, and Versius\n                    <jats:sup>\u00ae<\/jats:sup>\n                    groups, respectively (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.360,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.236). The groups were comparable for docking time, console time, and operative time (5 vs. 5 vs. 7\u00a0min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.059, 58.5 vs. 58 vs. 39\u00a0min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.393, 109.5 vs. 110.5 vs. 104.1\u00a0min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.668, respectively). No conversion or perioperative complications were registered. Postoperative hospital stays were similar (2\u00a0days in all groups,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.629).\u00a0RAA, whatever platform is used, confirmed to be a safe and effective approach, potentially expanding indications for minimally invasive adrenalectomy. Even though new platforms have been applied in less demanding cases in our learning curve phase, the introduction of new different platforms may lead to a costs reduction, thus to a broader diffusion of RAA.\n                  <\/jats:p>","DOI":"10.1007\/s13304-025-02414-8","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T09:43:49Z","timestamp":1758188629000},"page":"1733-1740","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Robotic adrenalectomy: comparison of DaVinci, HUGO\u2122-RAS and Versius\u00ae platforms\u2014a preliminary retrospective analysis"],"prefix":"10.1007","volume":"78","author":[{"given":"Priscilla Francesca","family":"Procopio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0865-700X","authenticated-orcid":false,"given":"Francesco","family":"Pennestr\u00ec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierpaolo","family":"Gallucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Laurino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamaria","family":"Martullo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmela","family":"De Crea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Raffaelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"2414_CR1","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/S00423-016-1535-8","volume":"402","author":"LH Thompson","year":"2016","unstructured":"Thompson LH, Nordenstr\u00f6m E, Almquist M et al (2016) Risk factors for complications after adrenalectomy: results from a comprehensive national database. 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Priscilla Francesca Procopio, Francesco Pennestr\u00ec, and Antonio Laurino have a consultant agreement with Medtronic. Carmela De Crea and Annamaria Martullo\u00a0declare no conflicts of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All\u00a0procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical\u00a0standards.","order":2,"name":"Ethics","label":"Compliance with ethical standards","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This article does not contain any studies with animals performed by any of the authors.","order":3,"name":"Ethics","label":"Research involving human participants and\/or\u00a0animals","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from all individual participants for whom identifying information is included in this article.","order":4,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}