Single‐incision robotic cholecystectomy: A special emphasis on utilization of transparent glove ports to overcome limitations of single‐site port. Issue 3 (17th November 2016)

• Record Type: Journal Article
• Authors: Lee, Hongeun; Lee, Doo‐ho; Kim, Hongbeom; Han, Youngmin; Kim, Sun‐Whe; Jang, Jin‐Young
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 13:Issue 3(2017)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2016-11-17
• Subjects: cholecystectomy -- da Vinci surgical system -- minimally invasive surgery -- robotic surgery -- single‐incision -- single‐site; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1789
• Languages: English
• ISSNs: 1478-5951

Abstract

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.