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Updated: Oct 8, 2025

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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Does single-site robotic surgery makes sense for gallbladder surgery?

Henrique Rasia Bosi1, Marcelo Costamilan Rombaldi1, Thamyres Zaniratti2

  • 1Department of Surgery, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
|January 4, 2022
PubMed
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Robotic cholecystectomy using the da Vinci Single-Site platform is safe and feasible in public hospitals. High costs limit its widespread adoption, necessitating cost-reduction strategies for improved accessibility.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Health Economics

Background:

  • Cholecystectomy is a common surgical procedure with evolving techniques for improved patient outcomes.
  • Robotic surgery, particularly single-port systems like the da Vinci Single-Site Surgical Platform (DVSSP), offers advantages in minimally invasive procedures.
  • High costs associated with robotic technology limit its accessibility, especially within public healthcare systems.

Purpose of the Study:

  • To evaluate the safety and feasibility of robotic cholecystectomy using the DVSSP in a tertiary public hospital.
  • To assess cost-related factors and explore alternatives to reduce the overall expense of the procedure.

Main Methods:

  • A prospective, descriptive study was conducted.
  • Evaluated robotic cholecystectomies performed with DVSSP technology.
Keywords:
cholecystectomycost-effectiveness assessmentminimally invasive surgical proceduresrobotic surgery

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  • Data collected from May 2017 to November 2018 at Hospital de Clínicas de Porto Alegre.

    • Main Results:

    • 37 robotic cholecystectomies were performed with an average surgical time of 82.62 minutes.
    • No intraoperative complications were observed; 5.4% of cases required conversion to conventional laparoscopy.
    • The average robotic procedure cost was $1146.23, with a significantly lower reimbursement from the Brazilian Unified Health System ($212.59).
    • Satisfactory postoperative outcomes were noted, with an 8.1% incisional hernia rate.

    Conclusions:

    • Robotic cholecystectomy with DVSSP is a safe and feasible option in the public healthcare setting.
    • The high cost of robotic surgery is a significant barrier to its widespread implementation.
    • Development of cost-effective alternatives is crucial to enhance the accessibility of this technology.