Robotic Transabdominal Adrenalectomy: Proposed Surgical Technique

Authors

  • Mariana Mourão Serviço de Cirurgia Geral, Hospital Curry Cabral, ULS São José, Lisboa, Portugal https://orcid.org/0000-0002-9305-7289
  • Sofia C. Guerreiro Serviço de Cirurgia Geral, Hospital Curry Cabral, ULS São José, Lisboa, Portugal https://orcid.org/0009-0002-3195-9567
  • Rui Leal Área Cirúrgica, Bloco Operatório Central, Hospital Curry Cabral, ULS São José, Lisboa, Portugal
  • Paula Tavares Serviço de Cirurgia Geral, Hospital Curry Cabral, ULS São José, Lisboa, Portugal
  • Susana Cadilha Serviço de Anestesiologia, Hospital Curry Cabral, ULS São José, Lisboa, Portugal
  • Hugo Pinto Marques Serviço de Cirurgia Geral, Hospital Curry Cabral, ULS São José, Lisboa, Portugal

DOI:

https://doi.org/10.34635/rpc.1182

Keywords:

Adrenalectomy/methods, Robotic Surgical Procedures

Abstract

Minimally invasive adrenalectomy is the treatment of choice for most adrenal lesions requiring surgical intervention, with the robotic approach representing an evolution of conventional laparoscopy. This article presents in detail the technique of robotic transabdominal adrenalectomy, including patient positioning, trocar placement, docking, and the fundamental surgical steps. The technical particularities of the right and left approaches are described, with emphasis on vascular control and safe gland dissection. Specimen extraction and postoperative care are also addressed, typically associated with rapid recovery and short hospital stay. The technique demonstrates safety, low complication rates, and perioperative advantages in experienced centers. The standardization of surgical steps and a multidisciplinary approach are essential to optimize outcomes and ensure procedural safety.

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References

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Published

2026-06-18

Issue

Ahead of Print

Section

Technical Steps

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