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Cholecystectomy using a novel Single-Site(®) robotic platform: early experience from 45 consecutive cases
Konstantinos M Konstantinidis1, Petros Hirides, Savas Hirides
1Department of General, Laparoscopic, Robotic & Bariatric Surgery, Athens Medical Center, Distomou 3-5, Marousi, 15125 Athens, Greece.
Surgical Endoscopy
|April 6, 2012
Summary
Single-incision robotic cholecystectomy using the novel Single-Site platform is feasible and safe. This minimally invasive technique demonstrates efficacy in patients with gallstones, including those with high BMI, with minimal complications and rapid recovery.
Area of Science:
- Minimally Invasive Surgery
- Robotic Surgery
- Gastrointestinal Surgery
Background:
- Single-incision robotic cholecystectomy (SIRC) aims to reduce invasiveness.
- Evaluating a novel Intuitive Surgical platform for SIRC is crucial.
Purpose of the Study:
- Assess the feasibility, safety, and efficacy of SIRC.
- Utilize a new robotic platform for gallbladder removal.
Main Methods:
- Performed 45 SIRC procedures with a single surgeon.
- Monitored operation time, complications, hospital stay, and recovery.
- Followed patients for two months post-surgery.
Main Results:
- No major complications; one case of postoperative hemorrhage.
- Average operation time was 84.5 minutes; negligible blood loss.
- Short hospital stay (<24 hours) and quick return to activities (4.48 days).
Conclusions:
- The Single-Site platform provides a stable environment for SIRC.
- SIRC is safe and effective for simple and complicated cases, including high BMI patients.
- Pneumoperitoneum induction and docking require specific training.