Surgery

Robotic Submesocolic Left Adrenalectomy: The Evolution of Delbet Approach

Ethan Littlefield

25 Jun 2025 — 1 min read

PMCID: PMC12172399

PMID: 40525778

DOI: 10.1002/rcs.70080

Journal: The international journal of medical robotics + computer assisted surgery : MRCAS

Publication Date: 2025-6-17

Authors: Ortenzi M, Santini A, Balla A, Corallino D, Lezoche G, et al.

Key Points

Robotic submesocolic approach demonstrates safety and feasibility for left adrenalectomy
Operative time varied significantly between surgical approaches (LP group longest)
BMI may be a potential predictor of postoperative complications in adrenal surgery

Summary

This study compared different surgical approaches for left adrenalectomy, focusing on submesocolic (SM) robotic (RB) and laparoscopic (LP) techniques versus the traditional anterior approach (AT). The research aimed to evaluate the safety, feasibility, and perioperative outcomes of these surgical methods for left adrenal gland removal.

The analysis revealed significant variations in operative parameters across approaches. Operative time was statistically longer in the laparoscopic group (p < 0.001), while the length of hospital stay was shorter in the submesocolic group (p = 0.024). Notably, after propensity matching, body mass index (BMI) showed a correlation with postoperative complications (OR = 1.01), suggesting patient body composition may influence surgical outcomes.

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