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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.
Objective:
To determine the console time and safety of robotic-assisted cholecystectomy using the Versius system.
Study Design:
An observational study. Place and Duration of the Study: Department of Surgery, National Hospital and Medical Centre, Lahore, Pakistan, from May 2022 to March 2024.
Methodology:
Cases of robotic-assisted cholecystectomy were reviewed. Prospective data was collected. Informed consent regarding surgery and the use of clinical data was obtained. Confidentiality of patient information was maintained. Perioperative variables and postoperative follow-up were recorded, and 90-day morbidity, readmission, and mortality were noted.
Results:
A total of 156 cases of robotic-assisted cholecystectomy were performed. Most of the patients were female (n = 115, 73.71%). The overall mean console time was 63.04 ± 33.14 minutes. There were no readmissions, mortality, or 90-day morbidity. Only one patient (0.61%) had a bleeding complication, requiring laparoscopic exploration.
Conclusion:
In appropriately selected cases, robotic-assisted cholecystectomy surgery is safe, and its short-term outcomes are comparable to laparoscopic surgery. Console time is influenced by patient gender and gallbladder characteristics.
Key Words:
Robotic-assisted, Cholecystectomy, Pakistan, Initial experience, Versius system.
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