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Systematic review: robot-assisted versus conventional laparoscopic multiport cholecystectomy.
Jennifer Straatman1, Phil H Pucher2, Ben C Knight2
1Department of Upper Gastrointestinal Surgery, Portsmouth Hospitals University NHS Trust, Cosham, Portsmouth, PO6 3LY, UK. jennifer.straatman@porthosp.nhs.uk.
Journal of Robotic Surgery
|July 13, 2023
Summary
Robotic cholecystectomy shows similar postoperative outcomes to laparoscopic surgery but has longer operative times. Evidence quality is poor, necessitating further research on robotic gallbladder removal effectiveness.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy is the standard for gallstones.
- Robotic cholecystectomy adoption is increasing.
- Evidence for robotic gallbladder surgery is limited.
Approach:
- Systematic review of 14 studies (3002 patients).
- Compared robotic vs. conventional laparoscopic cholecystectomy.
- Assessed operative outcomes, recovery, and complications.
Key Points:
- No significant differences in blood loss, complications, bile duct injury, or hospital stay.
- Robotic surgery had longer operative times but lower conversion rates.
- Significant heterogeneity and poor study quality noted.
Conclusions:
- Available evidence on robotic cholecystectomy is scarce and of low quality.
- Robotic surgery may offer benefits in reduced conversion rates.
- Further high-quality trials are needed to confirm robotic cholecystectomy's role.
