New Maneuver in Robotic Single-Port Cholecystectomy

Area of Science:

• Minimally Invasive Surgery
• Robotic Surgery
• Surgical Technology

Background:

• Growing acceptance of integrating functional, psychosocial, and cosmetic aspects into patient care.
• Single-port robotic surgery represents an advanced technological approach to surgical intervention.

Purpose of the Study:

• To assess the safety and efficacy of a novel robotic dissector with monopolar electrocautery.
• To evaluate the impact of this new instrument on surgical outcomes in cholecystectomy.

Main Methods:

• A prospective study involving 10 consecutive cholecystectomies using a new robotic dissector.
• Comparison of outcomes between standard and robotic dissector groups, analyzing port placement, docking time, and surgeon time.

Main Results:

• No significant differences were observed in port placement or docking time between groups.
• Surgeon console time was significantly reduced when using the new robotic dissector (p=0.005).
• The Maryland monopolar dissector facilitated faster and more feasible dissection of the Calot's triangle.

Conclusions:

• The novel robotic dissector with monopolar cautery is safe and effective for single-port cholecystectomy.
• This instrument enhances the feasibility and speed of dissection, supporting the benefits of robotic single-site surgery.