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Invited Critique
Mar 2012

Robotic Posterior Retroperitoneal Adrenalectomy: For What Benefit and at What Cost?Comment on “Robotic vs Laparoscopic Posterior Retroperitoneal Adrenalectomy”

Arch Surg. 2012;147(3):275-276. doi:10.1001/archsurg.2011.2048

Even before any randomized control trial was performed to compare laparoscopic adrenalectomy with open adrenalectomy, the lateral and retroperitoneal approaches to laparoscopic adrenalectomy were quickly adapted because laparoscopic adrenalectomy was associated with a superior patient outcome and lower costs. However, the benefit of robotic adrenalectomy, especially the lateral transabdominal approach, is thus far less evident.1,2 The robotic approach may offer the surgeon greater dexterity and a more ergonomic procedure than does laparoscopic adrenalectomy, but what are the benefits for the patient and at what cost?