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The trial assessed operative time and secondary perioperative outcomes, cost, and ergonomics using NASA-TLX and RULA.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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trial compare between laparoscopic and robotic adrenalectomy?","Question",{"text":62,"@type":63},"The trial compared operative time and perioperative outcomes, including cost and ergonomics measured by NASA-TLX and RULA.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How were patients assigned in the randomized clinical trial?",{"text":67,"@type":63},"Eligible patients with adrenal tumors planned for minimally invasive lateral transabdominal adrenalectomy were randomized to laparoscopic adrenalectomy or robotic adrenalectomy.",{"name":69,"@type":60,"acceptedAnswer":70},"What were the main findings regarding outcomes and ergonomics?",{"text":71,"@type":63},"Operative times and overall secondary outcomes were similar, while the robotic group had lower surgeon NASA-TLX and overall RULA scores, along with fewer conversions from the original minimally invasive 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\n[https://doi.org/10.1245/s10434-025-18567-0](https://doi.org/10.1245/s10434-025-18567-0)  \nORIGINAL ARTICLE – ENDOCRINE TUMORS  \nLaparoscopic Versus Robotic Adrenalectomy: A Randomized Clinical Trial  \nEren Berber, MD, MBA, Arturan Ibrahimli, MD, Edip Memisoglu, MD, Ege Akgun, MD, and Rafael Perez‑Soto, MD  \nCenter for Endocrine Surgery, Cleveland Clinic, Cleveland, OH  \nABSTRACT  \nBackground. This study aimed to compare perioperative outcomes between laparoscopic and robotic transabdominal lateral adrenalectomies.  \nBackground. Despite growing interest in robotic adrenalectomy (RA), its benefits compared with those for laparoscopic adrenalectomy (LA) need to be identified. Two previously published randomized studies used out-of-date technologies and included only pheochromocytoma patients, respectively. Methods. A prospective randomized clinical trial was conducted by a single surgeon between May 2024 and February 2025. Patients with adrenal tumors eligible for minimally invasive lateral transabdominal adrenalectomy were randomized to LA or RA. The trial was powered to detect a 30-min difference in operative time. The secondary outcomes were perioperative outcomes, cost, and ergonomics, measured by the NASA Task Load Index (NASA-TLX) and the Rapid Upper Limb Assessment (RULA) .  \nResults. In the study, 27 patients were randomized to each group. The groups were similar in demographics, clinical characteristics, and operative indications. The operative times and secondary outcomes were similar between the groups except that the RA group had a lower median operating surgeon NASA-TLX score (16 vs 48; P ≤ 0.001) and a lower overall RULA score (14 vs 17; P = 0 .001) than the LA group. Operation room, hospital, and total costs were similar between the groups. Although all the procedures were completed as planned in the RA group, the LA group had  \n© The Author(s) 2025, corrected publication 2025  \nFirst Received: 18 June 2025  \nAccepted: 1 October 2025  \nPublished online: 25 October 2025  \nE. Berber, MD, MBA[e-mail: berbere@ccf.org](e-mail: berbere@ccf.org)  \nfour conversions from the original minimally invasive plan (conversion to open, hand-assisted procedure, and partial adrenalectomy and abortion of the procedure in one patient each) .  \nConclusions. Perioperative outcomes, including cost, were similar between LA and RA, with better ergonomics and fewer conversions from the original minimally invasive surgical plan in the RA group.  \nDuring the last two decades, many studies have reported the safety and efficacy of robotic adrenalectomy (RA) .1–5 An analysis of the 2016 National Inpatient Sample data showed that 33% of the adrenalectomies in the United States were performed robotically.5 However, despite the popularization of RA, the literature has scant data regarding how it affects patient outcomes compared with laparoscopic adrenalectomy (LA) .  \nThe first randomized study comparing RA and LA in 2004 actually showed inferior results with RA in terms of feasibility, morbidity, and cost.6 Nevertheless, this study used a first-generation robotic technology, which lacked many features of currently available systems, such as ease of docking and a fourth robotic arm. The second randomized study in 2020 included only patients with pheochromocytoma and did not include docking time in the operative time analysis.7  \nWith the growing interest in RA and more frequent incorporation of RA into training programs, a contemporary comparison of this approach with LA is needed. Our group started a robotic adrenalectomy program in 2008 and has described the technique in previous publications.8,9 Due to the large adrenal surgical volume, both the laparoscopic and robotic approaches are used on a regular basis in the program. The current study aimed to compare RA and LA using a prospective randomized design.  \nMETHODS  \nThis prospective single-surgeon randomized trial of patients with adrenal disorders, approv","cbCailDBCjob2EYl","https://ap.wps.com/l/cbCailDBCjob2EYl","pdf",527181,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusions\n# Methods\n## Trial design and participants\n## Outcomes and measures","[{\"question\":\"What perioperative aspects did the trial compare between laparoscopic and robotic adrenalectomy?\",\"answer\":\"The trial compared operative time and perioperative outcomes, including cost and ergonomics measured by NASA-TLX and RULA.\"},{\"question\":\"How were patients assigned in the randomized clinical trial?\",\"answer\":\"Eligible patients with adrenal tumors planned for minimally invasive lateral transabdominal adrenalectomy were randomized to laparoscopic adrenalectomy or robotic adrenalectomy.\"},{\"question\":\"What were the main findings regarding outcomes and ergonomics?\",\"answer\":\"Operative times and overall secondary outcomes were similar, while the robotic group had lower surgeon NASA-TLX and overall RULA scores, along with fewer conversions from the original minimally invasive plan.\"}]","Laparoscopic Versus Robotic Adrenalectomy - A Randomized Clinical Trial | PDF",1790686038,25]