First it should be noted that in practice the impact of moving the lens a few cm up or down will only matter when there is foreground or mid-ground subject matter. On sweeping panoramas with only background/infinity elements there will be little if any effect. The determinate of moving the lens will be most evident on extreme compositions where e.g. a fallen tree is composed to be coming towards the camera. In such a case it is a large problem bordering on impossible to fix.
Here is a 9-shot stitch I took in Moab from an Infrared-modified Phase One P21.
Lens movement is likely not a big deal if multi-row stitching will only be occasionally used. But if you plan on making that a core part of your workflow then the Arca or Cambo solutions are significantly more elegant, as well as more compact and lighter than requiring an additional accessory and mounting the lens to the tripod.
With a Cambo Wide RS or Arca R series body the rise/fall/shift movements are all natively on the rear of the camera, such that the lens does not move at all for multi-row stitches. As a bonus tilt is available (natively) for every lens on the Arca as compared to the Cambo and Alpa both of which only offer on specific mid-wide and longer lenses (and Alpa only by means of an additional accessory and special versions of those lenses).
If you want to extensively stitch you'll want to stick with the lenses with larger image circles, and where available you'll want to use the matched Center Filter for each lens. The Schneider 43XL, 47XL, and especially the 60XL come to mind immediately (based on my own experience rather than just the stated image circles). If you email me I'd be glad to help you understand which lenses will yield what level of wideness with single shots, and 2-9 shot stitches as well as how well each lens will handle the required movements for those stitches.
We have recently opened a Remote Demo Center with high quality remote teleconferencing, screen sharing, and raw file sharing to provide customers who can't make it to our show floor the opportunity to see the nitty-gritty of working with such systems. We'd be glad to show you around a Cambo or Arca. Full disclosure: we no longer sell Alpa.