{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:47:20Z","timestamp":1790261240246,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:00:00Z","timestamp":1776556800000},"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 Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Despite insufficient evidence of safety, single-port robotic surgery is becoming increasingly popular. This retrospective study compared the surgical efficacy of single-port robotic adrenalectomy (RA) and conventional multi-port RA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Data were collected from 303 patients who underwent RA across seven centers from January 2018 to June 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of the patients was 51.6 \u00b1 12.8 years, and 41.3% (125\/303) of them were male. Left-sided adrenal tumors were present in 58.1% (176\/303) of the patients. Clinical tumor size was 3.5 \u00b1 2.0 cm. Robotic partial adrenalectomy, retroperitoneal, and single-port RAs were performed in 96 (31.7%), 57 (18.8%), and 42 (13.9%) patients, respectively. A Jackson\u2013Pratt drain was not inserted in 69 cases (22.8%), and hospital stay was 4.3 \u00b1 1.7 days. Given the different patient selection criteria for multi-port and single-port RAs, propensity score matching (PSM) was conducted according to the laterality of the procedure, tumor size, and tumor characteristics. After PSM, intraoperative and postoperative (\u226530 days) complication rates were not different between the multi-port and single-port RA groups. The incidence of complications was not significantly different between the two groups when the tumor size was stratified as 4 cm (2.0% versus 3.7%). Multivariate logistic regression analysis revealed that the surgical method (multi-port versus single-port) was not associated with perioperative complications. Instead, it depended on whether the tumor was a cortical carcinoma or a pheochromocytoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both multi- and single-port RAs are safe. In certain patients, single-port RA can be an alternative surgical option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429251411372","type":"journal-article","created":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T08:35:45Z","timestamp":1776587745000},"page":"671-676","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Efficacy of Robotic Adrenalectomy: Korean Nationwide Comparative Data Analysis Focusing on Robotic Modality, Surgical Approach, and Tumor Characteristics"],"prefix":"10.1177","volume":"36","author":[{"given":"Jae-Wook","family":"Chung","sequence":"first","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kisoo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Dong-A University Hospital, Pusan, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taek Sang","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kosin University Hospital, Pusan, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongho","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Seoul St. Mary\u2019s Hospital, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Seok","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Chonnam National University, Gwangju, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Gyun","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Hwii","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Ewha Womans University, Mokdong Hospital, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wansuk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Department of Urology, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Urologic Committee for Robotic Adrenal Surgery (URAS)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.12.003"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCO.0000000000000594"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199210013271417"},{"issue":"7","key":"e_1_3_3_5_2","first-page":"1130","article-title":"A case report of laparoscopic adrenalectomy","volume":"83","author":"Higashihara E","year":"1992","unstructured":"Higashihara E, , Tanaka Y, , Horie S, et al. 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