Pediatric Case Reports| Volume 156, P260-262, October 2021

Pediatric Robotic Adrenalectomy for Virilizing Adrenal Tumor in a 4-year-old Female


      Adrenocortical tumors in children are rare, with approximately 90% of children presenting with endocrine syndromes, most commonly virilization. The standard treatment remains an open resection, although there is increasing use of the minimally invasive approach. With the advent of robotic surgery, its advantages over open and conventional laparoscopy make it a viable option in select patients. Despite the adoption of robot-assisted surgery in pediatric urology, limited literature regarding robotic pediatric adrenal surgery exists, with only a few small case series. We present a female child with virilizing features due to a large functional adrenal tumor managed by robot-assisted adrenalectomy.
      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 Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Wieneke J.A.
        • Thompson L.D.
        • Heffess C.S.
        Adrenal cortical neoplasms in the pediatric population: a clinicopathologic and immunophenotypic analysis of 83 patients.
        Am J Surg Pathol. 2003; 27: 867-881
        • Tabatabaei F.
        • Sharif M.R.
        • Reisi N.
        Adrenocortical carcinoma in a 8 years old child: a Case Report.
        Iranian J Pediatric Hematol and Oncol. 2017; 7: 193-197
        • Gundgurthi A.
        • Kharb S.
        • Dutta M.K.
        • et al.
        Childhood adrenocortical carcinoma: Case report and review.
        Indian j endocrinol and metabolism. 2012; 16: 431
        • Michalkiewicz E.
        • Sandrini R.
        • Figueiredo B.
        • et al.
        Clinical and outcome characteristics of children with adrenocortical tumors: a report from the International Pediatric Adrenocortical Tumor Registry.
        J Clin Oncol. 2004; 22: 838-845
        • ElHaddad A.
        • Castellani C.
        • Sorantin E.
        • et al.
        Minimally invasive surgery for pediatric adrenal masses—report on four cases.
        Eur j pediatric surg rep. 2019; 7: e75
        • Mitra A.P.
        • Vasquez E.
        • Koko7rowski P.
        • Chang A.Y.
        Robotic adrenalectomy in the pediatric population: initial experience case series from a tertiary center.
        BMC urology. 2020; 20: 1-5
        • Murphy D.
        • Challacombe B.
        • Khan M.S.
        • Dasgupta P.
        Robotic technology in urology.
        Postgrad Med J. 2006; 82: 743-747
        • Uwaydah N.I.
        • Jones A.
        • Elkaissi M.
        • Yu Z.
        • Palmer B.W.
        Pediatric robot-assisted laparoscopic radical adrenalectomy and lymph-node dissection for neuroblastoma in a 15-month-old.
        J robotic surg. 2014; 8: 289-293
        • 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
        • Varda B.K.
        • Cho P.
        • Wagner A.A.
        • Lee R.S.
        Collaborating with our adult colleagues: a case series of robotic surgery for suspicious and cancerous lesions in children and young adults performed in a free-standing children's hospital.
        J pediatric urol. 2018; 14 (182-e1)