Comparative Analysis of Robotic Posterior Retroperitoneal and Lateral Transperitoneal Adrenalectomy

Robotic posterior retroperitoneal adrenalectomy and lateral transperitoneal adrenalectomy were compared using a 1:1 matched propensity analysis. In 154 matched cases, no significant differences were found in operative time, conversion to open surgery, postoperative pain, morphine use, length of stay, or 90-day complications. While posterior retroperitoneal adrenalectomy had lower estimated blood loss, it was not considered clinically significant. This study suggests that, when matched for tumor and patient parameters, the two robotic approaches exhibit similar perioperative outcomes, emphasizing their comparable effectiveness in adrenal surgery.