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Solo-surgical laparoscopic cholecystectomy with a joystick-guided camera device: a case-control study
Sonja Gillen1, Benedikt Pletzer, Arthur Heiligensetzer
1Department of Surgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Surgical Endoscopy
|August 31, 2013
Summary
This study found that the Soloassist camera holder in laparoscopic cholecystectomy is safe and well-accepted by surgeons. While operating times were longer, it reduced overall staff time and did not increase complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Evaluating the Soloassist joystick-controlled camera holder for solo surgery in laparoscopic cholecystectomy.
- Comparing solo-surgery with standard human-assisted laparoscopic cholecystectomy.
Purpose of the Study:
- To assess the safety and efficacy of the Soloassist system in laparoscopic cholecystectomy.
- To compare Soloassist implementation with traditional human-assisted procedures.
Main Methods:
- 123 patients underwent laparoscopic cholecystectomy: 63 with Soloassist, 60 with human assistance.
- Data collected included operation times, complications, hospital stay, human resources, and surgeon satisfaction.
- Surgeons were categorized by experience with the camera holder.
Main Results:
- Soloassist did not increase hospital stay or complications.
- Total and core operation times were longer with Soloassist (p=0.001, p=0.008).
- Relative operating time (personnel/minutes/operation) was significantly shorter (p < 0.001), and overall staff time was reduced.
Conclusions:
- The Soloassist camera-guiding device is safe and can be implemented without increased complications.
- High surgeon satisfaction was reported, with ratings from very good to excellent.
- Despite longer operative times, the Soloassist system reduces overall staff time in laparoscopic cholecystectomy.