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Comparing Outcomes Between Robotic and Laparoscopic Cholecystectomy for Acute Cholecystitis
Zamaan Hooda1,2, Deanna Dong3, Ahmad Hlayhel1
1Department of Surgery, St. Joseph's University Medical Center, Paterson, NJ. (Drs. Hooda, Hlayhel, Bustamante, Veltri, Yanagawa, Talishinskiy, Christian, Abaijan, Wessner, Rebein, and Sori).
Summary
Robotic-assisted cholecystectomy (RAC) offers a shorter operative time compared to traditional laparoscopic cholecystectomy (LC) for acute cholecystitis. Both methods demonstrate similar complication and conversion rates, indicating RAC is a safe alternative.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Technology
Background:
- Laparoscopic cholecystectomy (LC) is the standard for acute cholecystitis.
- Robotic-assisted cholecystectomy (RAC) is emerging as a viable alternative.
- Comparative studies are needed to evaluate RAC's efficacy.
Purpose of the Study:
- To compare operative time between LC and RAC for acute cholecystitis.
- To evaluate and compare perioperative outcomes, including complications and conversions.
- To assess the safety and feasibility of RAC as an alternative to LC.
Main Methods:
- Retrospective analysis of 259 patients undergoing surgery for acute cholecystitis (Jan 2023 - Dec 2023).
- Patients were stratified into LC and RAC groups.
- Statistical analysis included Chi-squared, Fisher's exact, Mann-Whitney U, and unpaired t-tests.
Main Results:
- RAC group (73 patients) had a significantly shorter median operative time (68.2 min) than LC group (186 patients, 108 min) (P < .001).
- Postoperative complication rates were similar: 4.8% for LC vs. 1.4% for RAC (P = .192).
- Conversion rates to open surgery were also comparable: 4.3% for LC vs. 5.5% for RAC (P = .745).
Conclusions:
- Robotic-assisted cholecystectomy demonstrates a shorter operative duration than laparoscopic cholecystectomy.
- RAC exhibits comparable complication and conversion rates to LC.
- RAC is a safe and feasible alternative surgical approach for acute cholecystitis.
