My Thoughts/My Surgical Practice| Volume 220, ISSUE 2, P296-297, August 2020

Download started.


Outpatient robot-assisted adrenalectomy: Is it safe?


      • Robot-assisted adrenalectomy can safely be performed in the outpatient setting.
      • Thorough preoperative work-up and preparation for surgical intervention are required.
      • Patients should be monitored in PACU and evaluated prior discharge to determine if inpatient admission is warranted.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The American Journal of Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Murphy M.M.
        • Witkowski E.R.
        • Ng S.C.
        • et al.
        Trends in adrenalectomy: a recent national review.
        Surg Endosc. 2010; 24: 2518-2526
        • Zippel D.
        • Yalon T.
        • Nevo Y.
        • et al.
        The non-responding adrenal metastasis in melanoma: the case for minimally invasive adrenalectomy in the age of modern therapies.
        Am J Surg. 2019;
        • Anderson Jr., K.L.
        • Thomas S.M.
        • Adam M.A.
        • et al.
        Each procedure matters: threshold for surgeon volume to minimize complications and decrease cost associated with adrenalectomy.
        Surgery. 2018; 163: 157-164
        • Economopoulos K.P.
        • Mylonas K.S.
        • Stamou A.A.
        • et al.
        Laparoscopic versus robotic adrenalectomy: a comprehensive meta-analysis.
        Int J Surg. 2017; 38: 95-104
        • Brandao L.F.
        • Autorino R.
        • Laydner H.
        • et al.
        Robotic versus laparoscopic adrenalectomy: a systematic review and meta-analysis.
        Eur Urol. 2014; 65: 1154-1161
        • Ramirez-Plaza C.P.
        • Perales J.L.
        • Camero N.M.
        • Rodriguez-Canete A.
        • Bondia-Navarro J.A.
        • Santoyo-Santoyo J.
        Outpatient laparoscopic adrenalectomy: a new step ahead.
        Surg Endosc. 2011; 25: 2570-2573
        • Zeiger M.A.
        • Thompson G.B.
        • Duh Q.Y.
        • et al.
        The American association of clinical endocrinologists and American association of endocrine surgeons medical guidelines for the management of adrenal incidentalomas.
        Endocr Pract. 2009; 15 (official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists): 1-20
        • Kirsch M.J.
        • Kohli M.W.
        • Long K.L.
        • et al.
        Utility of the 10 Hounsfield unit threshold for identifying adrenal adenomas: can we improve?.
        Am J Surg. 2020;
        • Ortiz D.I.
        • Findling J.W.
        • Carroll T.B.
        • et al.
        Cosyntropin stimulation testing on postoperative day 1 allows for selective glucocorticoid replacement therapy after adrenalectomy for hypercortisolism: results of a novel, multidisciplinary institutional protocol.
        Surgery. 2016; 159: 259-265