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Robotic Adrenalectomy: A Portuguese National Health Service Experience
Mariana Mourao1, Sofia C Guerreiro1, Paula Tavares1
1General Surgery, Hospital Curry Cabral, Unidade Local de Saúde São José, Lisbon, PRT.
Cureus
|March 12, 2026
Summary
Robotic adrenalectomy is a safe and feasible surgical technique for adrenal tumors, offering excellent visualization and dexterity. This approach shows promise for complex cases, with outcomes comparable to traditional methods.
Area of Science:
- Endocrine Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Minimally invasive adrenalectomy is standard for benign adrenal disease.
- Robotic-assisted adrenalectomy offers advantages, especially for complex cases.
- Implementing robotic surgery in public hospitals presents unique challenges.
Purpose of the Study:
- To evaluate the feasibility and outcomes of robotic transabdominal adrenalectomies.
- To assess the implementation of a robotic surgery program in a public hospital setting.
Main Methods:
- Retrospective analysis of a consecutive series of robotic transabdominal adrenalectomies.
- Data collected included demographic, perioperative, and postoperative outcomes.
- Procedures were performed at a tertiary, university-affiliated public hospital.
Main Results:
- 32 robotic adrenalectomies were performed with a mean operative time of 110 minutes.
- Low conversion rate (3%) and overall morbidity (9.4%) were observed.
- No mortality and a short mean hospital stay of 1.2 days were reported.
Conclusions:
- Robotic adrenalectomy demonstrated safe and feasible outcomes comparable to literature.
- The technique offers enhanced visualization and dexterity, beneficial for complex cases.
- Robotic surgery may expand indications to include selected complex or malignant adrenal tumors.
