Single-incision robotic cholecystectomy: A special emphasis on utilization of transparent glove ports to overcome limitations of single-site port

Int J Med Robot. 2017 Sep;13(3). doi: 10.1002/rcs.1789. Epub 2016 Nov 17.

Abstract

Background: The current robotic platform overcomes some limitations of single-incision laparoscopic cholecystectomy (SILC), however, whether robotic surgery is a safe and feasible approach must be investigated.

Methods: Patients referred for elective surgery willing to undergo single-incision robotic cholecystectomy (SIRC) by consent were enrolled. All procedures were performed by the same team using the same surgical equipment.

Results: Thirty patients underwent SIRC. The mean overall operation time was 53.80 ± 15.20 min (range 32-80) and mean console time was 16.67 ± 5.63 min (range 11-30). The mean postoperative stay was 1.30 ± 0.54 days (range 1-3). There were no perioperative major complications.

Conclusion: SIRC can be rapidly learnt and safely performed while overcoming the ergonomic difficulties encountered during SILC. SIRC can be a viable alternative treatment for gallbladder diseases in selected patients with strong interest in cosmetic outcomes who are willing to pay the higher costs associated with SIRC.

Keywords: cholecystectomy; da Vinci surgical system; minimally invasive surgery; robotic surgery; single-incision; single-site.

MeSH terms

  • Adolescent
  • Adult
  • Cholecystectomy, Laparoscopic / instrumentation*
  • Equipment Design
  • Female
  • Gallbladder Diseases / surgery
  • Gloves, Surgical
  • Humans
  • Male
  • Middle Aged
  • Operative Time
  • Robotic Surgical Procedures / instrumentation*
  • Surgical Wound
  • Young Adult