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Updated: Mar 29, 2026
Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: September 5, 2025
Comparison between robotic-assisted cholecystectomy and laparoscopic cholecystectomy using a systematic registry of
Núria Llorach-Perucho1, Natalia Bejarano-Gonzalez1, Neus García-Monforte1
1Unidad Hepatobiliopancreática, Cirugía General y del Aparato Digestivo, Hospital Universitario Parc Taulí, Universitat Autònoma de Barcelona (UAB), 08208 Sabadell (Barcelona), Spain.
Background:
Robotic-assisted cholecystectomy (RC) is a minimal invasive surgery technique. It is not available at every hospital, and higher complication rates have been described in larger series.
Methods:
A prospective and descriptive study of patients with only elective cholecystectomies since the implementation of robotic surgery at our institution. Patients with urgent procedures were excluded.
Primary Endpoint:
to compare postoperative complications between laparoscopic cholecystectomies (LC) and RC. Secondary endpoint: to determine the existence of differences between both groups in demographic, surgical and postoperative variables.
Results:
Between March 2022 and November 2024, 391 patients underwent cholecystectomy (75.7% LC, 24.3% RC). Three LC were converted to open surgery, and 9 patients were readmitted (7-LC, 2-RC). Only one patient was reoperated. Median operative time (in minutes) was significantly longer (P = .001) in RC than LC (73 vs 59). Although the console time in RC was shorter (66) the difference was still significant (P = .02). There were no significant differences in hospital stay or the CCI (Comprehensive Complication Index). However, significant differences in Clavien Dindo were found in favor of RC (P = .042) (LC: 3 IIIa, one IVa, RC: one IIIa, one IVa). There were 4 abscesses (3 LC, one RC) and 2 biliary fistulas in LC (one drained percutaneously, one reoperated). In the RC group, one patient presented myocardial infarction and another residual choledocholithiasis.
Conclusions:
RC needs a longer operative time but seems to be as safe as LC in terms of the number of adverse events. It can be considered a safe technique for cholecystectomies.
