Single-port robotic cholecystectomy. Initial and pioneer experience in Brazil

Schraibman, Vladimir; Epstein, Marina Gabrielle; Maccapani, Gabriel; Macedo, Antonio Luiz de Vasconcellos

doi:10.1590/s1679-45082015rc3275

Cited by 4 publications

(1 citation statement)

References 9 publications

(36 reference statements)

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“…Porém, estes instrumentos podem aumentar ainda mais o grau de dificuldade do procedimento (126). A utilização de robôs neste tipo de abordagem (videocolecistectomia robótica por incisão única -SIRC) permitiria melhor controle de instrumentos articulados, facilitando a atuação do cirurgião (38,113,(127)(128)(129), mas aumentando o custo do procedimento (64,130,131). Quanto à hipótese de reduzir incisões para reduzir dor no pós-operatório, não há comprovação (132,133 Nos últimos anos, os cirurgiões vêm tentando aprimorar a técnica de colecistectomia e com a intenção de ia e cicatrizes visíveis.Sendo a videocolecistectomia uma técnica de relativo baixo custo e de fácil execução, os maiores desafios, para tanto, são de manter a segurança na realização icas de colecistectomia minilaparoscópica, técnica de três portais e a cirurgia através de incisão única (SILS) são procedimentos que vêm sendo realizados na atualidade.…”

Section: Técnicas Alternativasunclassified

Técnica simplificada de colecistectomia laparoscópica com duas incisões

Abaid¹

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Abaid RA. Simplified laparoscopic cholecystectomy with two incisions [thesis]. São Paulo: "Faculdade de Medicina, Universidade de São Paulo"; 2017. INTRODUCTION: About 20% of the population has cholelithiasis and this is the main abdominal cause of hospitalization in developed countries. Considering that only in the United States about 700,000 cholecystectomies are done each year, it is possible to estimate the importance of the problem for public health. Decreasing the number of incisions can reduce surgical trauma and offer better aesthetic results. OBJECTIVE: To describe a two-incision laparoscopic cholecystectomy technique (TILC) using only conventional material, without increasing complications, nor operative time, offering the same safety as conventional laparoscopic cholecystectomy. METHOD: A consecutive and prospective case series, compared to another historical series operated by conventional laparoscopy cholecystectomy (LC). The TILC was performed with 3 trocars in 2 incisions, two trocars in umbilical incision and one in epigastrium. A total of 72 patients were operated on by the same surgeon (36 in each group). RESULTS: There were no significant differences between groups for gender, mean age, body mass index (BMI) or length of hospital stay. The procedures were classified by the surgeon according to surgical difficulty and there was no difference between the series (p < 0.05). There were minor complications in 5.6% (n = 2) procedures in each group. There were no differences between means of operative time (p = 0.989), which were 49 (95% CI 42 to 56) min in LC and 40 (CI 95% 35 to 44) min in TILC. There was no need for additional portals in any case, nor for conversion to open surgery. CONCLUSIONS: Two-incision laparoscopic cholecystectomy (TILC) is feasible, safe and with good aesthetic result, using the same instruments of LC, without increasing operative time or complications.

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Section: Técnicas Alternativasunclassified

Técnica simplificada de colecistectomia laparoscópica com duas incisões

Abaid¹

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Robotic and Laparoscopic Instrumentation in Pediatric Urology

Rague

Kurtz

2020

Minimally Invasive and Robotic-Assisted Surgery in Pediatric Urology

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Advantages of the glove port docking technique in robotic single-site cholecystectomy: comparison with the conventional silicone port

Lee

Kwon

et al. 2017

J Robotic Surg

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Although the da Vinci Single-Site silicone port allows exact alignment and effective triangulation of instruments, it also has drawbacks. We introduce an alternative docking technique using the Glove port. From April 2014 to December 2016, respective 50 patients of the conventional silicone port and the glove port group were compared. The mean docking time was 16.6 ± 6.6 min in the silicone port group and 10.6 ± 3.6 min in the glove port group. Re-docking during the operation was needed in three patients in the silicone port group and readjustment of cannulae without re-docking could be simply performed in five patients in the glove port group. Skin injury was observed in 17 patients in the silicone port group and 0 patients in the glove port group without significant complications. Some limitations of the conventional silicone port were improved by the glove port.

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Single-port robotic cholecystectomy. Initial and pioneer experience in Brazil

Cited by 4 publications

References 9 publications

Técnica simplificada de colecistectomia laparoscópica com duas incisões

Técnica simplificada de colecistectomia laparoscópica com duas incisões

Robotic and Laparoscopic Instrumentation in Pediatric Urology

Advantages of the glove port docking technique in robotic single-site cholecystectomy: comparison with the conventional silicone port

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