Below is the link to a recently performed robotic left adrenalectomy for a 14-year-old girl diagnosed with Cushing’s syndrome secondary to an adrenocortical tumor. Pediatric adrenal tumors are uncommon, and managing hormone-secreting lesions in this age group requires careful multidisciplinary planning involving endocrinology, anesthesia, critical care, and surgical oncology teams.

A robotic approach was chosen to enable precise dissection in a confined retroperitoneal space, stable vascular control, and minimal tissue handling. Key steps included meticulous early identification and control of the adrenal vein, gentle handling of the tumor to avoid capsular breach, and preservation of surrounding structures. The enhanced visualization and articulation offered by the robotic platform were particularly valuable for safe dissection around the pancreas, left renal vein and upper pole renal vessels.

The patient had an uneventful intraoperative course and smooth early recovery, with close postoperative endocrine monitoring and steroid management.

Cases like this highlight how minimally invasive and robotic techniques, when applied judiciously, can offer excellent outcomes even in complex pediatric endocrine tumors – provided they are done in experienced centers with a coordinated team approach.