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Outcome after single-site robotic cholecystectomy: An initial single center's experience
Marco Ricciardiello1, Tommaso Grottola1,2, Paolo Panaccio1
1Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital, G. D'Annunzio University, Chieti, Italy.
Asian Journal of Endoscopic Surgery
|December 2, 2020
Summary
Single-site robotic cholecystectomy (SSRC) offers a minimally invasive option for gallbladder removal, improving cosmetic outcomes and patient body image perception. This technique shows promise for patients prioritizing aesthetics with acceptable complication rates.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy (LC) is standard for symptomatic gallbladder disease.
- Single-incision surgery aims to further minimize surgical trauma.
- Single-site robotic cholecystectomy (SSRC) addresses ergonomic limits of laparoscopic single-site approaches and enhances cosmesis.
Purpose of the Study:
- To evaluate the initial experience with SSRC for cholecystolithiasis.
- To assess the technical feasibility and cosmetic outcomes of SSRC.
- To analyze patient-reported cosmetic and body image satisfaction after SSRC.
Main Methods:
- Retrospective and prospective review of intra-operative and post-operative data from 27 patients undergoing SSRC.
- Exclusion of one patient converted to open surgery.
- Assessment of cosmetic outcomes using the Body Image Questionnaire (BIQ) and Photo Series Questionnaire at 12 months.
Main Results:
- Mean operative time was 99.6 minutes; no intra- or post-operative complications or readmissions were recorded.
- Three patients (11.5%) developed post-operative incisional hernias.
- Significant improvement in scar self-rating (P < .01) and favorable BIQ scores indicate high patient satisfaction with cosmetic results.
Conclusions:
- SSRC is a viable option for patients seeking improved cosmesis and body image perception.
- Potential cost reductions may facilitate wider adoption of SSRC for cholecystectomy.
- The technique demonstrates good feasibility and patient satisfaction regarding aesthetic outcomes.
