{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T18:44:36Z","timestamp":1783449876392,"version":"3.55.0"},"reference-count":83,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,8,19]],"date-time":"2016-08-19T00:00:00Z","timestamp":1471564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>\n                    The aim of this study was to provide an evidence\u2010based systematic review of the use of laparoscopic and robotic adrenalectomy in the treatment of adrenal disease as part of the International Consultation on Urological Diseases and European Association of Urology consultation on Minimally Invasive Surgery in Urology. A systematic literature search (January 2004 to January 2014) was conducted to identify comparative studies assessing the safety and efficacy of minimally invasive adrenal surgery. Subtopics including the role of minimally invasive surgery for pheochromocytoma, adrenocortical carcinoma (\n                    <jats:styled-content style=\"fixed-case\">ACC<\/jats:styled-content>\n                    ) and large adrenal tumours were examined. Additionally, the role of transperitoneal and retroperitoneal approaches, as well as laparoendoscopic single\u2010site (\n                    <jats:styled-content style=\"fixed-case\">LESS<\/jats:styled-content>\n                    ) and robotic adrenalectomy were reviewed. The major findings are presented in an evidence\u2010based fashion. Large retrospective and prospective data were analysed and a set of recommendations provided by the committee was produced. Laparoscopic surgery should be considered the first\u2010line therapy for benign adrenal masses requiring surgical resection and for patients with pheochromocytoma. While a laparoscopic approach may be feasible for selected cases of\n                    <jats:styled-content style=\"fixed-case\">ACC<\/jats:styled-content>\n                    without adjacent organ involvement, an open surgical approach remains the \u2018gold standard\u2019. Large adrenal tumours without preoperative or intra\u2010operative suspicion of\n                    <jats:styled-content style=\"fixed-case\">ACC<\/jats:styled-content>\n                    may be safely resected via a laparoscopic approach. Both transperitoneal and retroperitoneal approaches to laparoscopic adrenalectomy are safe. The approach should be chosen based on surgeon training and experience.\n                    <jats:styled-content style=\"fixed-case\">LESS<\/jats:styled-content>\n                    and robotic adrenalectomy should be considered as alternatives to laparoscopic adrenalectomy but require further study.\n                  <\/jats:p>","DOI":"10.1111\/bju.13592","type":"journal-article","created":{"date-parts":[[2016,7,19]],"date-time":"2016-07-19T02:33:04Z","timestamp":1468895584000},"page":"13-21","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["International Consultation on Urological Diseases and European Association of Urology International Consultation on Minimally Invasive Surgery in Urology: laparoscopic and robotic adrenalectomy"],"prefix":"10.1111","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1780-2627","authenticated-orcid":false,"given":"Mark W.","family":"Ball","sequence":"first","affiliation":[{"name":"James Buchanan Brady Urological Institute and Department of Urology Johns Hopkins University School of Medicine Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok K.","family":"Hemal","sequence":"additional","affiliation":[{"name":"Department of Urology Wake Forest School of Medicine Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad E.","family":"Allaf","sequence":"additional","affiliation":[{"name":"James Buchanan Brady Urological Institute and Department of Urology Johns Hopkins University School of Medicine Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2010-0457"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP.15.S1.1"},{"key":"e_1_2_9_4_1","first-page":"327","article-title":"Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma","volume":"1992","author":"Gagner M","journal-title":"N Engl J Med"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0b013e32834693bf"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1607-551X(09)70539-X"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2007.05.008"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-009-0089-5"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.134.6.628"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-8810-1"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/089277904773582859"},{"key":"e_1_2_9_12_1","first-page":"126","article-title":"Laparoscopic adrenalectomy versus open adrenalectomy: results from a retrospective comparative study","volume":"75","author":"Ramachandran MS","year":"2006","journal-title":"Ulster Med J"},{"key":"e_1_2_9_13_1","first-page":"276","article-title":"Laparoscopic compared with open adrenalectomy for resection of pheochromocytoma: a review of 47 cases","volume":"51","author":"Humphrey R","year":"2008","journal-title":"Can J Surg"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2007.0085"},{"key":"e_1_2_9_15_1","first-page":"94","article-title":"From open to laparoscopic adrenalectomy: thirty years\u2019 experience of one medical centre","volume":"61","author":"Lubikowski J","year":"2010","journal-title":"Endokrynol Pol"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2760-1"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2009.191"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2011.07.012"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2013.10.024"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3168-0"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20845"},{"key":"e_1_2_9_22_1","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1177\/000313480006601005","article-title":"Laparoscopic adrenalectomy is superior to an open approach to treat primary hyperaldosteronism","volume":"66","author":"Duncan JL 3rd","year":"2000","journal-title":"Am Surg"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9904-1"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.08.147"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-3322(00)80039-6"},{"key":"e_1_2_9_26_1","first-page":"341","article-title":"Retroperitoneoscopic adrenalectomy for pheochromocytoma: comparison with open surgery","volume":"7","author":"Hemal AK","year":"2003","journal-title":"JSLS"},{"key":"e_1_2_9_27_1","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1177\/0310057X0403200210","article-title":"A comparison of open and laparoscopic approaches to adrenalectomy in patients with phaeochromocytoma","volume":"32","author":"Davies MJ","year":"2004","journal-title":"Anaesth Intensive Care"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-008-0270-3"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-1-2"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.09.012"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-09-1096"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20599"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.08.024"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.01.036"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.024"},{"key":"e_1_2_9_36_1","first-page":"637","article-title":"A survey on adrenal incidentaloma in Italy. Study Group on Adrenal Tumors of the Italian Society of Endocrinology","volume":"85","author":"Mantero F","year":"2000","journal-title":"J Clin Endocrinol Metab"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2789-7"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.12.019"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9709-7"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-002-6666-0"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20180"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.23250"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2009.02.017"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8921"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.05.042"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09674.x"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-011-0678-z"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2012.0599"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2014.07.008"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0b013e32831b446c"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2008.08.032"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.364"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.09.047"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0082-0"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-011-0243-1"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-011-0292-5"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.2040"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-9046-z"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.04.016"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2296-4"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2580-1"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-013-3134-z"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.09.021"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(97)90218-X"},{"key":"e_1_2_9_65_1","first-page":"1","article-title":"Laparoscopic adrenalectomy compared to open adrenalectomy for benign adrenal neoplasms","volume":"183","author":"Brunt LM","year":"1996","journal-title":"J Am Coll Surg"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.01.018"},{"key":"e_1_2_9_67_1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s00268-002-6474-6","article-title":"Expectations and outcomes when moving from open to laparoscopic adrenalectomy: multivariate analysis","volume":"27","author":"Barreca M","year":"2003","journal-title":"World J Surg"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.11.030"},{"key":"e_1_2_9_69_1","first-page":"2638","article-title":"A laparoscopic versus open adrenalectomy in Ramathibodi Hospital","volume":"90","author":"Chotirosnramit N","year":"2007","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_9_70_1","first-page":"468","article-title":"Comparative study of laparoscopic and open adrenalectomy","volume":"29","author":"Wu CT","year":"2006","journal-title":"Chang Gung Med J"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2000.14.427"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)00126-9"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0532-2"},{"key":"e_1_2_9_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.08.014"},{"key":"e_1_2_9_75_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0404"},{"key":"e_1_2_9_76_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0494-4"},{"key":"e_1_2_9_77_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-010-0636-1"},{"key":"e_1_2_9_78_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1506-z"},{"key":"e_1_2_9_79_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e31823a9ab7"},{"key":"e_1_2_9_80_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1555-7"},{"key":"e_1_2_9_81_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1824-9"},{"key":"e_1_2_9_82_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-2012-7"},{"key":"e_1_2_9_83_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2496-9"},{"key":"e_1_2_9_84_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1497"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.13592","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.13592","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.13592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:15:30Z","timestamp":1761743730000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.13592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,19]]},"references-count":83,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1111\/bju.13592"],"URL":"https:\/\/doi.org\/10.1111\/bju.13592","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,19]]},"assertion":[{"value":"2016-08-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}