Laparoscopic adrenalectomy is currently considered the gold standard method for adrenal surgery. Open surgery is the most frequently preferred technique for surgeons facing larger tumours or challenging lesions. Due to the technological advantages and the convenience it has provided to the surgeon, robotic adrenalectomy is increasingly preferred. Robotic adrenalectomy offers a fast adaptation process and a short learning curve at experienced minimally invasive surgery centres.

We retrospectively evaluated our 20 successive robotic adrenalectomies between June 2023 and September 2024.

Eleven males and nine females. The mean age was 43±11,9 years. The mean operative time was 162 ± 61.1 min No conversion was registered. The mean duration of hospitalisation was 3.4 ± 1.6 days. We registered only two cases of wall hematoma conservedly treated. The mean follow-up is 9,6±3.2 months.

Robotic adrenal surgery is a safe surgery which can be safely performed in centres with experience in adrenal surgery and robotic surgery. It needs a surgical team specially trained to perform the robotic technique for robotic adrenal surgery. All participants, including assistants, anaesthetists, and all operating room staff, are closely involved in the operation. The robotic system is handy for adrenalectomy and appears to be economically sustainable in high-volume centres, especially if performed in large formations, obese patients, in cases of previous abdominal surgery and complex cases. The possibility of performing a minimally invasive approach, even in complex cases, has immeasurable advantages for patients.