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

Table 4

Comparative outcomes of laparoscopic versus robotic adrenalectomy.

Author

Year

Approach

Number of; patients

Mean tumor size, cm (range)

Mean operation time, min (range)

Mean blood loss, mL

Mean hospital stay, days (range)

LA

RA

LA

RA

value

LA

RA

value

LA

RA

value

LA

RA

value

Morino et al. [28]

2004^a

LTA

10

10

3.1 (1.5, 6.0)

3.3 (1.4, 6.5)

N.S

115.3 (95, 155)

169 (136, 215)

<0.01

N.A

N.A

N.A

5.4

5.7

N.S

Brunaud et al. [29]

2008^b

LTA

59

50

3.4 (1.0, 8.0)

2.8 (0.9, 7.5)

N.S

87 (50, 160)

104 (60, 180)

0.003

71

49

<0.001

6.3

6.9

N.S

Agcaoglu et al. [30]

2012^b

PRA

31

31

3.0 ± 0.2

3.1 ± 0.2

N.S

165.7 ± 9.5

163.2 ± 10.1

N.S

35.6 ± 9.9

25.3 ± 10.3

N.S

1^*

1^*

N.S

Karabulut et al. [31]

2012^b

LTA

32

32

3.6 ± 0.3

4.8 ± 0.4

0.03

160 ± 9

165 ± 10

N.S

41 ± 20

41 ± 10

N.S

1.5 ± 0.9

1.1 ± 0.3

0.006

PRA

18

18

2.7 ± 0.3

2.3 ± 0.3

N.S

170 ± 15

166 ± 9

N.S

You et al. [32]

2013^b

LTA

8

15

2.8 (1.0, 4.5)

2.6 (1.0, 5.5)

N.S

183.1 (75, 270)

207.0 (120, 320)

N.S

N.A

N.A

N.A

6.7 (5, 9)

5.9 (4, 7)

N.S

Brandao et al. [33]

2014^b

LTA

46

30

4.0^*

3.0^*

0.02

120^*

120^*

N.S

100^*

50^*

0.02

2.5^*

2^*

N.S

Values are expressed as mean with standard deviation, except median.
LA: laparoscopic adrenalectomy; RA: robotic adrenalectomy.
^aprospective randomized controlled study.
^bretrospective study.
N.S: not significant; N.A: not available.