SP8.03 Peri-operative outcomes following robotic-assisted adrenalectomies in a large tertiary referral centre

Aims Laparoscopic surgery has been the standard approach to adrenalectomies for over 20 years. Robotic adrenalectomies have recently emerged. This paper reports on the outcomes of robotic adrenalectomies performed in a large tertiary centre in the Northeast of England. Methods Between 2022 and 2024, 87 robotic adrenalectomies were performed using the DaVinci Xi system. Data was collected retrospectively from a prospective database. This included patient demographics, indication for surgery, tumour size, conversion rate, docking time, console time, length of stay, and complication rate. Results Of 87 robotic adrenalectomies, 54 were female. The median age for males and females was 58 and 60 respectively. The median BMI was 28 (19-55). Phaeochromocytoma accounted for 21 cases, Conn’s syndrome 25, and Cushing’s syndrome 20, with the rest performed for paraganglioma (n=1), ACC (n=1) and metastasis or indeterminate lesions (n=19). Median tumour size was three centimetres (0.5-14cm). There was a median docking time of five minutes and a median console time of 46 minutes. Median length of stay was one day (0-3 days). There was one conversion due to local invasion in a phaeochromocytoma, and one readmission due to post-operative ileus. Two patients had a clavien-dindo of IIIa due to radiologically drained collections, one of which was the conversion to open. Conclusions This case series demonstrates that robotic-assisted adrenalectomies are safe and effective, especially for patients with a high BMI due to the robotic system’s superior optics and instrument articulation, however, randomised controlled trails are required to fully evaluate their efficacy.