ArtiSential laparoscopic cholecystectomy: a comparative analysis with robotic single-port cholecystectomy

Area of Science:

• Minimally Invasive Surgery
• Gastrointestinal Surgery
• Surgical Technology

Background:

• Laparoscopic cholecystectomy is the standard for benign gallbladder disease.
• Single-port techniques aim to reduce surgical invasiveness.
• Challenges remain in instrument manipulation with reduced ports.

Purpose of the Study:

• To investigate early perioperative outcomes of laparoscopic single-site + 1 cholecystectomy using ArtiSential instruments (ALC).
• To compare ALC with robotic single-port cholecystectomy (RSPC).

Main Methods:

• A comparative study of 116 patients undergoing ALC and 210 patients undergoing RSPC.
• Data collected included clinical characteristics, operative outcomes, and postoperative pain.
• Statistical analysis compared outcomes between the two groups.

Main Results:

• ALC patients were older, with a higher proportion of males and acute cholecystitis with stones compared to RSPC.
• Mean operation time was significantly shorter for ALC (56.5 min) versus RSPC (94.8 min).
• ALC demonstrated significantly lower immediate postoperative pain scores (2.7 vs. 5.4) with comparable blood loss, complication rates, and hospital stays.

Conclusions:

• Laparoscopic single-site + 1 cholecystectomy using ArtiSential instruments is a safe and feasible procedure.
• ALC offers advantages in reduced immediate postoperative pain and operative time.
• Comparable perioperative outcomes support ALC as an effective alternative.