Single-Port Laparoscopic and Robotic Cholecystectomy in Obesity (&gt;25 kg/m2)

Jang, Eun Jeong; Roh, Young Hoon; Kang, Chang Moo; Kim, Dong Kyun; Park, Ki Jae

doi:10.4293/jsls.2019.00005

Cited by 15 publications

(8 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Timing of assessment varied between 1 h after surgery and 1 month after surgery, and each study looked at different time points. Examples of outcomes analyzed included the numerical pain rating scale (two studies [40,59]), the visual analog scale (three studies [34,46,53]), and pain-related emergency room (ER) Fig. 2 Comparison of robot-assisted versus laparoscopic cholecystectomy postoperative outcomes visits (three studies [20,22,43]), among others.…”

Section: Comparison Of Short-term Outcomesmentioning

confidence: 99%

Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: a systematic review

Shenoy

Mederos

et al. 2021

Syst Rev

View full text Add to dashboard Cite

Background Rapid adoption of robotic-assisted general surgery procedures, particularly for cholecystectomy, continues while questions remain about its benefits and utility. The objective of this study was to compare the clinical effectiveness of robot-assisted cholecystectomy for benign gallbladder disease as compared with the laparoscopic approach. Methods A literature search was performed from January 2010 to March 2020, and a narrative analysis was performed as studies were heterogeneous. Results Of 887 articles screened, 44 met the inclusion criteria (range 20–735,537 patients). Four were randomized controlled trials, and four used propensity-matching. There were variable comparisons between operative techniques with only 19 out of 44 studies comparing techniques using the same number of ports. Operating room time was longer for the robot-assisted technique in the majority of studies (range 11–55 min for 22 studies, p < 0.05; 15 studies showed no difference; two studies showed shorter laparoscopic times), while conversion rates and intraoperative complications were not different. No differences were detected for the length of stay, surgical site infection, or readmissions. Across studies comparing single-port robot-assisted to multi-port laparoscopic cholecystectomy, there was a higher rate of incisional hernia; however, no differences were noted when comparing single-port robot-assisted to single-port laparoscopic cholecystectomy. Conclusions Clinical outcomes were similar for benign, elective gallbladder disease for robot-assisted compared with laparoscopic cholecystectomy. Overall, the rates of complications were low. More high-quality studies are needed as the robot-assisted technique expands to more complex gallbladder disease, where its utility may prove increasingly beneficial. Systematic review registration PROSPERO CRD42020156945

show abstract

Section: Comparison Of Short-term Outcomesmentioning

confidence: 99%

Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: a systematic review

Shenoy

Mederos

et al. 2021

Syst Rev

View full text Add to dashboard Cite

show abstract

“…In line with this trend, laparoscopic and robotic single site cholecystectomy (RSCC) has emerged. 1 In the case of single incision laparoscopic cholecystectomy (SILC), studies have demonstrated several limitations such as collision between the laparoscopic instruments, problems in manipulating tissues or in delicate movements, the long learning curve, improper triangulation, and ergonomics. 2 , 3 RSSC, as a counterpart of SILC, is on the rise in minimally invasive surgery.…”

Section: Introductionmentioning

confidence: 99%

Early Outcomes of Robotic Single Site Cholecystectomy Using the DaVinci Xi® System

Jang¹,

Kang²,

Kim³

2021

JSLS

View full text Add to dashboard Cite

Purpose: Robotic surgery has become an established alternative to conventional laparoscopy or single site laparoscopy by solving the problems of angulation, improving the ergonomics of single-incision technology, and overcoming the intrinsic limitations of single-incision laparoscopy. Although the robotic single site technology is non-wristed and, unlike other conventional robotic instruments, only provides rotation, the ergonomics are nevertheless excellent. Therefore, the objective of this study is to present our initial experience in robotic single site cholecystectomy (RSSC) by a surgeon. Through this, we suggest that RSSC could be a feasible and safe procedure for overcoming the shortcomings of single incision laparoscopic cholecystectomy (SILC). Methods: This study is a retrospective data review of 74 patients who underwent RSSC between April 2019 and August 2020 at our institution. The demographic, pre-, and postoperative data were retrospectively collected. Results: A total of 74 patients underwent RSSC. The mean age of patients was 44.7 ± 9.5 years, and their mean body mass index was 24 ± 3 kg/m 2 . Symptomatic gallbladder stone (56.8%) was the most common pre-operative diagnosis. Mean of total operation and docking times was 39.3 ± 12.5 (20 – 85) and 7.6 ± 3.1 (4 – 20) minutes, respectively. There was no conversion, additional port insertion, bleeding, or intra-operative complication; however, one patient had wound seroma. Conclusions: RSSC for uncomplicated gallbladder disease may serve as an excellent alternative to SILC or conventional laparoscopic cholecystectomy because of its low complication rates, good cosmesis, and ease of reproducibility without a substantial learning curve.

show abstract

“…Hence, a final 13 studies (of 817 and 757 patients who underwent SSRC and SILC) were included for quantitative synthesis. [13][14][15][16][17][18][19][20][21][22][23][24][25] One study was a single-blind RCT, nine were retrospective cohorts, and the remaining three were prospective cohort studies. The data characteristics are available in Table 1.…”

Section: Study Selection and Study Characteristicsmentioning

confidence: 99%

Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Rudiman

Hanafi

Almawijaya

2023

Annals of Gastroent Surgery

View full text Add to dashboard Cite

BackgroundThe possibilities of minimally invasive cholecystectomy have emerged since the beginning of single‐incision laparoscopic cholecystectomy (SILC) and single‐site robotic cholecystectomy (SSRC). This study aimed to compare the feasibility, safety, and pain scores between SSRC and SILC.MethodsThe authors searched randomized or non‐randomized controlled trials and observational studies in PubMed, EuroPMC, and ClinicalTrials.gov from April 2012 until April 2022. The authors analyzed the operation time, hospital stay, blood loss volume, conversion rate, intraoperative complication rates, postoperative complications, visual analog scale (VAS) immediately after surgery, and VAS at hospital discharge. This study aligned with PRISMA and AMSTAR guidelines.ResultsThirteen studies were selected with 817 and 757 patients who underwent SSRC and SILC. Thus, this study demonstrated a lower incidence of intraoperative complication rates [relative risk (RR) 0.57 (95% CI 0.34–0.96), p = 0.03] and lesser VAS score at hospital discharge [Std. Mean Difference (SMD) −0.23 (95% CI −0.46, −0.01), p = 0.04] in the SSRC group. Regarding operation time and cost, SSRC revealed a longer time [SMD 1.02 (95% CI 0.45, 1.59), p = 0.0004] and higher cost [SMD 4.18 (95% CI 1.77, 6.58), p < 0.00001], respectively. Meanwhile, SSRC did not differ from SILC during a hospital stay, blood loss volume, conversion rate, postoperative complication rates, and VAS immediately after surgery.ConclusionsConcerning intraoperative complication rates and VAS score at hospital discharge, SSRC was superior to SILC. Thus, SSRC is considered a feasible and safe procedure.

show abstract

Single-Port Laparoscopic and Robotic Cholecystectomy in Obesity (>25 kg/m2)

Cited by 15 publications

References 21 publications

Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: a systematic review

Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: a systematic review

Early Outcomes of Robotic Single Site Cholecystectomy Using the DaVinci Xi® System

Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Contact Info

Product

Resources

About