Initial experiences of robotic SP cholecystectomy: a comparative analysis with robotic Si single-site cholecystectomy

Cruz, Charles Jimenez; Huynh, Frederick; Kang, Il‐Mo; Lee, Woo Jung; Kang, Chang Moo

doi:10.4174/astr.2021.100.1.1

Cited by 10 publications

(10 citation statements)

References 17 publications

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“…Patients without personal insurance usually cannot undergo robotic surgeries. This case selection was similar to that in two previous studies in Korea (3,4). Moreover, for this reason, patients who have undergone previous upper abdominal surgeries or preoperative ERCP or were suspected of having severe cholecystitis were generally not considered for robotic surgery because adhesion and in ammation might increase the risk of conversion to laparoscopic or open surgery.…”

Section: Discussionmentioning

confidence: 87%

“New is always better”: single-center experience of over 300 cases of single-incision robotic cholecystectomy comparing the new da Vinci SP with the previous Si/Xi systems

Choi

Sang

et al. 2022

Preprint

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Minimally invasive surgery is usually more beneficial than open surgeries in various fields of surgery. With the newly developed Single-Port (SP) robotic surgical system, even single-site surgery has become easier to access. We compared single-incision robotic cholecystectomy between the Si/Xi and SP systems. This retrospective single-center study enrolled patients who underwent single-incision robotic cholecystectomy between July 2014 and July 2021. The clinical outcomes of the da Vinci Si/Xi and SP systems were compared. In total, 334 patients underwent single-incision robotic cholecystectomy (118 Si/Xi vs. 216 SP). The SP group had more chronic or acute cholecystitis than the Si/Xi group did. There was more bile spillage in the Si/Xi group during the surgery. The total operative and docking times were significantly shorter in the SP group. There was no difference in the postoperative outcomes. The SP system is safe and feasible in terms of comparable postoperative complication rates, and is more convenient in terms of docking and techniques.

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Section: Discussionmentioning

confidence: 87%

“New is always better”: single-center experience of over 300 cases of single-incision robotic cholecystectomy comparing the new da Vinci SP with the previous Si/Xi systems

Choi

Sang

et al. 2022

Preprint

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“… 14 – 17 Since then, the surgical platform has been gradually developed and several excellent surgical outcomes have been identified along with operator convenience. 16 , 18 – 20 To the best of our knowledge, the current large study was the first to validate the feasibility of the da Vinci SP® system in benign GB disease. The da Vinci SP® system enables surgeons to perform delicate and complex operations through a small incision.…”

Section: Discussionmentioning

confidence: 93%

Feasibility and Efficacy of Single-Port Robotic Cholecystectomy Using the da Vinci SP® Platform

Kim

Choi

Kim

2022

JSLS

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Background: Single-incision laparoscopic cholecystectomy, first introduced in 1995, features acceptable cosmetic outcomes and postoperative pain control. The outcomes of single-port cholecystectomy by laparoscopy and robots were recently examined in many studies owing to surgeon and patient preference for minimally invasive surgery. A next-level da Vinci robotic platform was recently released. This study aimed to evaluate the feasibility and efficacy of robotic cholecystectomy (RC) using the da Vinci SP® system. Methods: In this retrospective observational single-center study, we analyzed the medical records of 304 patients who underwent RC between March 1, 2017 and May 31, 2021. Results: Of the 304 patients, the da Vinci Xi® (Xi) was used in 159 and the da Vinci SP® (SP) was used in 145. The mean operation time was 45.7 mins in the SP group versus 49.8 mins in the Xi group. The mean docking time of the SP group was shorter than that of the Xi group (5.7 min vs 8.8 min; p = 0.024). The mean immediate postoperative numerical rating scale (NRS) score was 4.0 in the SP group and 4.3 in the Xi group, showing a significant difference (p = 0.003). A separate analysis of only patients with acute cholecystitis treated with the da Vinci SP® showed that the immediate postoperative NRS score in the acute group was higher than that in the nonacute group. Conclusions: This study demonstrated acceptable results of single-site cholecystectomy using da Vinci SP®. Thus, pure single-port RC using the da Vinci SP® for various benign gallbladder diseases may be an excellent treatment option.

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“…In terms of cholecystectomy with single‐incision Xi and SP, Cruz et al. reported significantly shorter docking time, actual dissection time, console time, and total operation time with significantly less pain and comparable perioperative complication 11 . However, the absence of an accessory port was worrisome because delivery of needed materials was difficult and immediate intervention by an assistant surgeon such as suctioning of the bile leak or bleeding was impossible unless an additional port was inserted.…”

Section: Discussionmentioning

confidence: 99%

“…SP is characterized by a single arm that has three different instruments and a camera inside it and endowrist motion with multiple joints. Thus, SP has the advantages of a shorter docking time, no collisions and trapping between each instrument, and minimal pressure on the incision site 11–13 …”

Section: Introductionmentioning

confidence: 99%

“…Thus, SP has the advantages of a shorter docking time, no collisions and trapping between each instrument, and minimal pressure on the incision site. [11][12][13] However, there are only a few studies and a limited number of study samples comparing the new single-port technology with previously widely used RSSS in cholecystectomy. Therefore, we aimed to compare RSSS with Xi and SP performing SIRC in terms of perioperative outcomes.…”

mentioning

confidence: 99%

See 1 more Smart Citation

A retrospective multicentre study on the evaluation of perioperative outcomes of single‐port robotic cholecystectomy comparing the Xi and SP versions of the da Vinci robotic surgical system

Kang

Cho

et al. 2021

Robotics Computer Surgery

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Background: Single-incision robotic cholecystectomy (SIRC) is widely performed with both the da Vinci Xi system (Xi) and the da Vinci SP system (SP). But there are limited numbers of studies comparing these platforms.Methods: Patients who underwent SIRC between 2019 and 2020 were enrolled.Patient demographics, intraoperative factors, postoperative complications, postoperative pain were compared using a one-to-one propensity score matching (PSM).Results: Overall, 258 patients underwent SIRC with Xi and 72 with SP. After PSM, there were significant differences between the Xi and SP in operation time at console and numeric rating scale for postoperative pain, but no difference in total operation time and postoperative complications. The SP group showed more estimated blood loss.Conclusions: Despite the statistical difference, clinical benefit was not significant.Both platforms can be safe and feasible to perform SIRC, but further investigation including the surgeon's workload and ergonomics is needed as a prospective study.

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Initial experiences of robotic SP cholecystectomy: a comparative analysis with robotic Si single-site cholecystectomy

Cited by 10 publications

References 17 publications

“New is always better”: single-center experience of over 300 cases of single-incision robotic cholecystectomy comparing the new da Vinci SP with the previous Si/Xi systems

“New is always better”: single-center experience of over 300 cases of single-incision robotic cholecystectomy comparing the new da Vinci SP with the previous Si/Xi systems

Feasibility and Efficacy of Single-Port Robotic Cholecystectomy Using the da Vinci SP® Platform

A retrospective multicentre study on the evaluation of perioperative outcomes of single‐port robotic cholecystectomy comparing the Xi and SP versions of the da Vinci robotic surgical system

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