Adrenal-sparing surgery is an effective and safe alternative to total
adrenalectomy for small, benign adrenal lesions and may decrease the risk of the development of
adrenal insufficiency. While series of laparoscopic partial
adrenalectomy have demonstrated safety and excellent long-term outcomes, there have been no reports of a complete robot-assisted partial
adrenalectomy. We believe that robotic techniques may be useful for this procedure, given the complex vascularity and small size of the adrenal gland. Furthermore, there have been no reports of minimally invasive partial
adrenalectomy for management of small, isolated adrenal
metastasis. We report a case of robot-assisted partial
adrenalectomy in a patient with a history of
renal-cell carcinoma who had previously undergone contralateral
adrenalectomy for
metastasis. We report our surgical technique and short-term follow-up for our patient. To our knowledge, this is the first report of a complete robot-assisted partial
adrenalectomy and the first report of minimally invasive partial
adrenalectomy for an isolated adrenal
metastasis.