比较机器人辅助腹腔镜肾上腺切除术和后腹腔镜肾上腺切除术的优缺点。我们检索了2021年1月至12月期间在我们医院接受后腹腔镜肾上腺切除术（RLA）（n = 75）或机器人辅助腹腔镜肾上腺切除术（RARLA）（n = 26）的101名肾上腺肿瘤患者的回顾性资料，并比较了患者的人口统计学、肿瘤特征和围手术期指标。连续变量采用t检验进行统计分析，分类变量则采用Pearson卡方检验或Fisher精确检验。我们发现，RARLA组的出血量显著少于RLA组（66.9 ± 35.5毫升 vs 91.5 ± 66.1毫升，p = 0.020）。RARLA组的胃肠道功能恢复时间显著短于RLA组（19.9 ± 6.9小时 vs 32.0 ± 9.0小时，p < 0.001）。然而，与RLA组相比，RARLA组的手术时间、引流管插入时间和术后住院时间显著较长（149.6 ± 53.4分钟 vs 118.7 ± 41.2分钟，p = 0.003；4.9 ± 2.0天 vs 3.6 ± 1.1天，p = 0.004；6.4 ± 1.8天 vs 4.6 ± 1.6天，p < 0.001）。RARLA组的住院费用显著高于RLA组（59284 ± 8724元 vs 39785 ± 10126元，p < 0.001）。我们发现两组患者术后并发症的发生率没有显著差异。然而，两组病理类型存在显著性差异。RLA组患者的肾上腺皮质腺瘤比例较高，而RARLA组患者的嗜铬细胞瘤比例较高。与传统的腹腔镜肾上腺切除术相比，机器人辅助腹腔镜肾上腺切除术可以显著减少术中出血量并加速术后胃肠道恢复。我们致力于研究如何减少RARLA的住院时间和住院费用，以便使RARLA更广泛地应用。版权所有 © 2023 Li、Xiao、Yu、Liu、Xi、Wang和Zhou。

To explore the advantages and disadvantages of robot-assisted laparoscopic adrenalectomy compared with retroperitoneal laparoscopic adrenalectomy.A total of 101 patients with adrenal tumors who received retroperitoneal laparoscopic adrenalectomy (RLA) (n=75) or robot-assisted laparoscopic adrenalectomy (RARLA) (n=26) in our hospital from January 2021 to December 2021 were retrospectively collected. Patients' demographics, tumor characteristics, and perioperative indicators were compared. Statistical analysis was performed using t-test for continuous variables and Pearson chi-square test or Fisher's exact test for categorical variables.We found that blood loss in the RARLA group was significantly less than that in the RLA group (66.9 ± 35.5 ml vs 91.5 ± 66.1 ml, p = 0.020). Gastrointestinal function recovery time in RARLA group was significantly less than that in RLA group (19.9 ± 6.9 hours vs 32.0 ± 9.0 hours, p < 0.001). However, the operation time, drainage tube placement time, post-operative hospital stay in the RARLA group were significantly longer compared with the RLA group (149.6 ± 53.4 mins vs 118.7 ± 41.2 mins, p = 0.003; 4.9 ± 2.0 days vs 3.6 ± 1.1 days, p = 0.004; 6.4 ± 1.8 days vs 4.6 ± 1.6 days, p < 0.001). The hospitalization expense in the RARLA group is significantly higher than that in the RLA group (59284 ± 8724 RMB¥ vs 39785 ± 10126 RMB¥, p < 0.001). We found that there was no significant difference in the incidence of postoperative complications between the two groups. However, the pathological types of the two groups were significantly different. Patients in the RLA group had a higher proportion of adrenocortical adenoma, while patients in the RARLA group had a higher proportion of pheochromocytoma.Compared with traditional laparoscopic adrenalectomy, robot-assisted laparoscopic adrenalectomy can significantly reduce intraoperative blood loss and accelerate postoperative gastrointestinal recovery. It is committed to studying how to reduce the hospitalization time and hospitalization cost of RARLA, which can make RARLA more widely used.Copyright © 2023 Li, Xiao, Yu, Liu, Xi, Wang and Zhou.