{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T15:29:31Z","timestamp":1781450971176,"version":"3.54.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T00:00:00Z","timestamp":1653696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p> Minimal invasive surgeries (MIS) for large size adrenal tumors are still debatable. The objective is to evaluate the contemporary peri- and post-operative outcomes of patients undergoing (open\u2009=\u2009OA, laparoscopic\u2009=\u2009LA, and robotic\u2009=\u2009RA) adrenalectomies in three institutions. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods:<\/jats:title><jats:p> Retrospectively gathered peri- and post-operative data of 235 patients, underwent adrenalectomy at three Institutions over a 7-year period (2013\u20132020) were analyzed. All patients underwent thorough radiological and endocrine workup. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Two hundred and thirty five patients who underwent adrenalectomy (OA ( n\u2009=\u200929), LA ( n\u2009=\u2009146), and RA ( n\u2009=\u200960)) were assessed. OA ( n\u2009=\u200929) versus Minimally invasive surgery ( n\u2009=\u2009206) showed significant differences (median, p value) in larger tumour size, cm (9.4 vs 5, ( p\u2009=\u20090.0001)), longer operative time, mins (240 vs 100, ( p\u2009=\u20090.0001)), longer hospital stay, days (8 vs 3,( p\u2009=\u2009.0001)), Higher readmission rates (14% vs 1.9%), higher blood loss, ml (400 vs 100, ( p\u2009=\u20090.0001)) requiring blood transfusion (14% vs 4.3%) ( p\u2009=\u20090.03), higher intraoperative complication (21% vs 6%) ( p\u2009=\u20090.0004), and post op complications (17% vs 5.3%) ( p\u2009=\u20090.01). Amongst the MIS (RA vs LA), RA appeared be have better outcomes in terms of shorter operative time, less blood loss and less intra operative complications with a p value &lt;0.05. These results were consistent for the assessment of patients who had \u2a7e6\u2009cm tumor size. The postoperative complication rates were lowest with RA (3.3%) compared to OA (17%) and LA (6.1%). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Contemporary practice of adrenalectomy shows that robotic adrenalectomy is safe and effective irrespective of the tumor size. <\/jats:p><\/jats:sec>","DOI":"10.1177\/03915603221097166","type":"journal-article","created":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T08:44:06Z","timestamp":1653727446000},"page":"430-436","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Robot assisted laparoscopic adrenalectomy: Should this be the new standard?"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8073-6576","authenticated-orcid":false,"given":"Nivash","family":"Selvaraj","sequence":"first","affiliation":[{"name":"Department of Urology, Apollo Main Hospitals, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ginil Kumar","family":"Pooleri","sequence":"additional","affiliation":[{"name":"Department of Urology, Amrita Institute of Medical Science, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjai Kumar","family":"Addla","sequence":"additional","affiliation":[{"name":"Department of Urooncology, Apollo Cancer Institutes, Jubilee Hills, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Raghavan","sequence":"additional","affiliation":[{"name":"Department of Urology, Apollo Main Hospitals, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thirumalai Ganesan","family":"Govindaswamy","sequence":"additional","affiliation":[{"name":"Department of Urology, Apollo Main Hospitals, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Kumar","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Department of Urology, Apollo Main Hospitals, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananthakrishnan","family":"Sivaraman","sequence":"additional","affiliation":[{"name":"Department of Urology, Apollo Main Hospitals, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitesh","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Urology, Apollo Main Hospitals, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreedhar Gurunathan","family":"Kandasamy","sequence":"additional","affiliation":[{"name":"Department of Urology, Amrita Institute of Medical Science, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narasimhan","family":"Ragavan","sequence":"additional","affiliation":[{"name":"Department of Urology, Apollo Main Hospitals, Chennai, 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