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Robotic-Assisted Cholecystectomy: Experience from Pakistan.

Usman Ismat Butt1, Mahmood Ayyaz1, Muhammad Waris Farooka2

  • 1Department of Surgery, King Edward Medical University, Lahore, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 8, 2025
PubMed
Summary

Robotic-assisted cholecystectomy using the Versius system in Pakistan demonstrated safety and favorable short-term outcomes. Console time varied by patient gender and gallbladder factors, but complications were minimal.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Gastrointestinal Surgery

Background:

  • Robotic-assisted surgery is an evolving field.
  • The Versius system offers a novel platform for minimally invasive procedures.
  • Initial experiences with new robotic systems require safety and efficacy evaluation.

Purpose of the Study:

  • To assess the safety and console time of robotic-assisted cholecystectomy.
  • To evaluate the initial outcomes of the Versius system in Pakistan.
  • To identify factors influencing console time in robotic cholecystectomy.

Main Methods:

  • Observational study design.
  • Prospective data collection from May 2022 to March 2024.
  • Review of 156 robotic-assisted cholecystectomies, recording perioperative variables and 90-day outcomes.

Main Results:

  • 156 robotic-assisted cholecystectomies were performed, predominantly in female patients.
  • Mean console time was 63.04 ± 33.14 minutes.
  • No 90-day morbidity, readmissions, or mortality were observed; one bleeding complication occurred.

Conclusions:

  • Robotic-assisted cholecystectomy with the Versius system is safe in selected cases.
  • Short-term outcomes are comparable to laparoscopic cholecystectomy.
  • Console time is influenced by patient gender and gallbladder characteristics.