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Robotic single-port cholecystectomy using a new platform: initial clinical experience.
Philippe Morel1, Monika E Hagen, Pascal Bucher
1Division of Digestive Surgery, Department of Surgery, University Hospital Geneva, 4, Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland.
Summary
Robotic single-port cholecystectomy is a feasible and safe surgical option. This robotic approach may overcome challenges associated with manual single-port surgery, potentially enabling more complex procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
Background:
- Single-port laparoscopy aims to reduce surgical invasiveness through fewer and smaller incisions.
- Potential benefits include improved cosmetic outcomes and reduced postoperative pain.
- Manual single-port laparoscopy presents technical challenges.
Purpose of the Study:
- To evaluate the feasibility and safety of robotic single-port cholecystectomy.
- To assess the utility of a robotic platform in overcoming manual single-port surgery challenges.
Main Methods:
- Prospective clinical trial involving patients with cholelithiasis undergoing robotic single-port cholecystectomy.
- Collection of demographic data and assessment of intraoperative and short-term postoperative outcomes.
Main Results:
- Twenty-eight patients (22 female/6 male, median age 48) underwent the procedure.
- Median operative time was 80 minutes; median console time was 53 minutes.
- No conversions or complications occurred, despite adhesions or anatomical variations in 8 cases.
Conclusions:
- Robotic single-port cholecystectomy is feasible and safe in early clinical experience.
- The robotic platform appears to mitigate technical difficulties of manual single-port surgery.
- This approach may facilitate more complex surgical cases.