Review Article

Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy

Table 2

Comparative outcomes of laparoscopic LTA versus laparoscopic PRA.

AuthorYear Mean operation time, minMean blood loss, mLPain scoreMean hospital stay, daysReturn to normal activity
LTAPRA valueLTAPRA valueLTAPRA valueLTAPRA valueLTAPRA value

Naya et al. [18]2002202 ± 74221 ± 87N.S113 ± 204192 ± 365N.SN.AN.AN.A9.0 ± 3.39.5 ± 3.5N.S20.8 ± 5.921.9 ± 5.3N.S
Lombardi et al. [19]2008135 ± 47114 ± 47N.SN.AN.AN.AN.AN.AN.A6.2 ± 2.45.6 ± 2.1N.S59 ± 2126 ± 17<0.001
Berber et al. [20]2009157 ± 7138 ± 6N.S35 ± 725 ± 60.05N.AN.AN.AN.AN.AN.AN.AN.AN.A
Kiriakopoulos et al. [21]201177.5a90.0aN.SN.AN.AN.A4a,b
3a,c
1a,b
0a,c
<0.001
<0.001
4a2a<0.001N.AN.AN.A
Dickson et al. [22]2011144.8 ± 42.499.9 ± 23.30.0001123.8 ± 204.38.4 ± 19.10.020N.AN.AN.A3.1 ± 1.41.9 ± 0.90.003N.AN.AN.A
Lee et al. [23]2012108.3 ± 34.587.2 ± 27.60.04274.8 ± 145.220.0 ± 41.7N.SN.AN.AN.A5.9 ± 3.63.0 ± 1.40.003N.AN.AN.A
Constantinides et al. [24]2013131.7 ± 46.686.3 ± 49.50.0002N.AN.AN.AN.AN.AN.A3.5 ± 3.01.6 ± 0.9<0.001N.AN.AN.A
Cabalag et al. [25]2014105a90aN.SN.AN.AN.AN.AN.AN.A2a1a<0.001N.AN.AN.A

Values are expressed as mean with standard deviation, except median.
LTA: lateral transperitoneal adrenalectomy; PRA: posterior retroperitoneoscopic adrenalectomy.
bpain score on postoperative day 1.
cpain score on postoperative day 3.
N.S: not significant; N.A: not available.