Laparoscopic cholecystectomy using a wireless intelligent endoscopic system versus a conventional wired system: a...

Area of Science:

• Minimally Invasive Surgery
• Surgical Technology
• Gastrointestinal Endoscopy

Background:

• Laparoscopic cholecystectomy (LC) is a common surgical procedure.
• Traditional wired endoscopic systems present challenges in terms of ergonomics and setup.
• Advancements in wireless technology offer potential improvements in surgical procedures.

Purpose of the Study:

• To evaluate the clinical application value of a novel wireless intelligent endoscopic system in LC.
• To compare the wireless system with traditional wired systems regarding technical performance, safety, and patient outcomes.

Main Methods:

• 86 patients undergoing LC were randomized into wireless (n=43) and wired (n=43) groups.
• Comparative analysis included technical performance, surgical safety (Critical View of Safety achievement), operator fatigue (Piper Fatigue Scale), and perioperative outcomes (liver function, stress hormones, CRP, pain scores, quality of recovery, quality of life, ERAS compliance).

Main Results:

• No significant difference in image transmission latency between wireless and wired systems.
• Wireless system significantly reduced equipment weight and preoperative preparation time.
• 100% Critical View of Safety achievement in both groups.
• Significantly lower operator fatigue, postoperative CRP levels, and pain scores in the wireless group.
• Improved postoperative quality of recovery (QoR-15) and quality of life (GIQLI) scores in the wireless group.

Conclusions:

• The wireless intelligent endoscopic system is safe and feasible for LC, with comparable safety to wired systems.
• The system enhances surgical ergonomics, reduces postoperative inflammation and pain, and improves early patient recovery.
• This technology facilitates the implementation of the Enhanced Recovery After Surgery (ERAS) paradigm.