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Review
. 2020 Jun;9(3):831-839.
doi: 10.21037/gs.2020.03.44.

Robotic adrenalectomy: evaluation of cost-effectiveness

Carmela De Crea  1   2 , Giovanni Arcuri  3 , Francesco Pennestrì  2 , Chiara Paolantonio  2 , Rocco Bellantone  1   2 , Marco Raffaelli  1   2
Affiliations
Review

Robotic adrenalectomy: evaluation of cost-effectiveness

Carmela De Crea et al. Gland Surg. 2020 Jun.

Abstract

Laparoscopic adrenalectomy (LA) is the preferred treatment option for adrenal lesions, considering the improved patients outcomes, due to the reduced postoperative morbidity and postoperative pain, the faster recovery and the shorter length of hospital stay. The widespread diffusion of robotic technology led to the development and standardization of robot-assisted approach to adrenalectomy. However, to date, no clear benefit from the use of the robot-assisted approach has been found. The higher costs remain an important drawback and limit the implementation of robot-assisted adrenalectomy (RA) programs. This review summarizes the current available data regarding RA including its operative outcomes, advantages and drawbacks in comparison with conventional LA, evaluating its cost-effectiveness.

Keywords: Robotic adrenalectomy; adrenal tumours; cost-effectiveness; minimally invasive adrenalectomy; personalized medicine.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/gs.2020.03.44). The series “Robotic Adrenalectomy” was commissioned by the editorial office without any funding or sponsorship. The authors have no other conflicts of interest to declare.

Figures

Figure 1
Figure 1
Overall costs and cost margin of posterior retroperitoneoscopic adrenalectomy (personal institutional experience).
Figure 2
Figure 2
Overall costs and cost margin of lateral transabdominal adrenalectomy (institutional personal experience).
Figure 3
Figure 3
Overall costs and cost margin of robot-assisted adrenalectomy (personal institutional experience).
See this image and copyright information in PMC

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