Abstract
Laparoscopy has emerged as the standard procedure for surgical treatment of benign adrenal diseases. These past 5 years, there have been concurrent improvements in the field of robotic surgery. Almost all urologic procedures initially performed laparoscopically have become performed with robotic assistance. Following a review of anatomic aspects, this paper discusses the indication, resumes the initial laboratory experience, and presents a description of the technique. Robot-assisted laparoscopic adrenalectomy has been performed in very few subjects worldwide. Advantages of robotic assistance over conventional laparoscopy are not acknowledged. Improvement in robotic technology, including addition of tactile feedback, miniaturization of end-effectors, reduced cost, and advances in remote surgery telecommunication technology are awaited. This will help in defining the place of robotics in treatment of adrenal diseases.
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