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Robotic cholecystectomy for acute cholecystitis: Three case reports
M Milone1, S Vertaldi, U Bracale
1Department of Gastroenterology, Endocrinology and Surgical Endoscopy, Federico II University of Naples, Naples, Italy.
Medicine
|July 27, 2019
Summary
Robotic cholecystectomy is a safe and feasible approach for treating acute calculous cholecystitis. This minimally invasive technique offers excellent outcomes, even in complex cases of gangrenous or empyematous cholecystitis.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Gastrointestinal surgery
Background:
- Laparoscopic cholecystectomy is the standard for acute calculous cholecystitis.
- Robotic cholecystectomy is gaining interest due to potential benefits.
- Studies suggest robotic surgery reduces conversion rates in complex cases.
Observation:
- Three patients with moderate acute calculous cholecystitis underwent robotic cholecystectomy.
- Diagnoses included two empyematous and one gangrenous cholecystitis.
- The da Vinci Robotic Surgical System was used for all procedures.
Findings:
- Mean operative time was 128 minutes with average blood loss of 60 mL.
- No intraoperative complications occurred.
- All patients had uneventful postoperative periods and were discharged within 24 hours.
Implications:
- Robotic cholecystectomy is feasible and safe for acute calculous cholecystitis.
- This approach may reduce conversion rates in emergency surgical settings.
- The findings support the inclusion of robotic surgery in emergency care protocols.
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