{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:24:35Z","timestamp":1791872675464,"version":"4.3.4"},"reference-count":72,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"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":["Journal of Endourology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      Comparing the safety and effectiveness of robot-assisted laparoscopic adrenalectomy (RA)\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      laparoscopic adrenalectomy (LA) in various adrenal tumors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted this systematic review and meta-analysis of the primary outcomes of interest according to the PRISMA and AMSTAR guidelines. Five databases were systematically searched, including Medline, PubMed, Cochrane Library, Scopus, and Web of Science. The search time frame was set from database creation to January 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 45 studies, including 7225 patients. Compared with LA, RA was superior in terms of estimated blood loss (EBL) [weighted mean difference (WMD)\u2009=\u2009\u221220.89, 95% confidence interval or CI (\u221228.51, \u221213.28),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01], length of stay (LOS) [WMD\u2009=\u2009\u22120.28, 95% CI (\u22120.40, \u22120.17),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01], bowel recovery time [WMD\u2009=\u2009\u22120.54, 95% CI (\u22120.82, \u22120.27),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01], conversion [odds ratio (OR) = 0.39, 95% CI (0.25, 0.60),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01], and total complications [OR = 0.70, 95% CI (0.57, 0.86),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01]. The two surgical groups were comparable in terms of operative time (OT), transfusion, readmission, Clavien\u2013Dindo I\u2013II complications, and Clavien\u2013Dindo &gt;II complications. Subgroup analyses found that compared with transperitoneal LA (TLA), robot-assisted TLA was superior in terms of EBL [WMD\u2009=\u2009\u221222.51, 95% CI (\u221239.04, \u22125.98),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01] and total complications [OR = 0.60, 95% CI (0.39, 0.90),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05]. The two surgical groups were comparable in terms of OT and LOS. Compared with retroperitoneal LA (RLA), robot-assisted RLA was superior in terms of OT [WMD = 18.74, 95% CI (5.89, 31.58),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01] and EBL [WMD\u2009=\u2009\u221221.41, 95% CI (\u221236.85, \u22125.97),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01]. The two surgical groups were comparable in terms of LOS, and total complications. For pheochromocytomas (PHEOs), RA was superior in terms of EBL, LOS, and intraoperative hemodynamic instability. For large adrenal tumors (\u22655 cm), RA was superior in terms of OT, EBL, and LOS. For obesity, RA was superior in terms of EBL. The two surgical groups were comparable in terms of OT, LOS, conversion, and total complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Robot-assisted laparoscopic procedure is superior to conventional laparoscopic procedure in the treatment of adrenal tumors, particularly for patients with large adrenal tumors (\u22655 cm), obesity, and PHEOs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790251363614","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T18:26:32Z","timestamp":1759775192000},"page":"1033-1048","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Laparoscopic\n                    <i>vs<\/i>\n                    Robotic Adrenalectomy: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"39","author":[{"given":"Lijian","family":"Gan","sequence":"first","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiyue","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feilong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoyuan","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zihao","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huawei","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zejia","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13193-016-0597-y"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-008-0014-3"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2789-7"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199210013271417"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/pl00012314"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4738"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3182266a86"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/030089160308900522"},{"issue":"3","key":"e_1_3_5_10_2","first-page":"177","article-title":"Laparoscopic adrenalectomy","volume":"60","author":"Castillo O","year":"2008","unstructured":"Castillo O, , S\u00e1nchez-Salas R, , Vidal I. 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