Comparative outcomes of single-incision laparoscopic, mini-laparoscopic, four-port laparoscopic, three-port laparoscopic, and single-incision robotic cholecystectomy: a systematic review and network meta-analysis

Lin, Haomin; Zhang, Jinchang; Li, Xujia; Li, Yuanquan; Su, Song

doi:10.1007/s13304-022-01387-2

Cited by 11 publications

(24 citation statements)

References 32 publications

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“…In addition, small incision cholecystectomy had a significantly shorter operative time. There was no significant difference in complication rate in the reviewed studies between the laparoscopic group and the small incision group 1,2,13,14 .…”

Section: Choice Of Surgical Optionsmentioning

confidence: 84%

“…Our review showed that day case versus one-day stay laparoscopic cholecystectomy found no difference in complication rate, readmission rate or 'patients' acceptance. However, the day case procedures cost less [13][14][15] . However, day case surgery is recommended for patients classified as grade 1 `or 2 according to the American Association of Anaesthesiologists' preoperative grading system for physical status [12][13][14][15][16] .…”

Section: Day Case Surgerymentioning

confidence: 99%

“…However, the day case procedures cost less [13][14][15] . However, day case surgery is recommended for patients classified as grade 1 `or 2 according to the American Association of Anaesthesiologists' preoperative grading system for physical status [12][13][14][15][16] .…”

Section: Day Case Surgerymentioning

confidence: 99%

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Gallstone-related complications and evidence base treatments. A scoop review

Abeysuriya

Dodampahala

2022

Sri Lanka J Obstet & Gynae

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The incidence of gallstones is 10-15%, making it one of the most common causes of surgical admissions. The number of admissions and operations for gallstone disease is increasing. Commonly gallstones are formed in the gallbladder but can also develop in the biliary tree. Commonly, gallstones are made of cholesterol. Even though the exact cause of supersaturation of bile is not known, there are multiple associate factors for gallstone formation. Most patients with gallstones never experience any symptoms, but the risk of presenting with complications related to gallstones is 1%-4% a year. Patients with gallstones can present with pain or other more severe complications that demand surgical treatment and follow-up. This article looks into epidemiology, basic pathophysiology, complications, pregnancy and gallstones, diagnosis and recent evidence base treatment of gallstone disease.

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Section: Choice Of Surgical Optionsmentioning

confidence: 84%

Section: Day Case Surgerymentioning

confidence: 99%

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Gallstone-related complications and evidence base treatments. A scoop review

Abeysuriya

Dodampahala

2022

Sri Lanka J Obstet & Gynae

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“…A meta-analysis of 17 randomized control trials found that single incision robotic cholecystectomy has significant outcome about post operative pain compared to single and multiple ports laparoscopic cholecystectomy. [9]. Similarly, a study comparing robotic cholecystectomy with single or multiple -incision laparoscopic cholecystectomy, found that patients who underwent robotic cholecystectomy had significantly lower pain score at 6 hours and 24 hours postoperatively in patients who underwent robotic cholecystectomy [10].…”

Section: Less Postoperative Pain and Improved Satisfactionmentioning

confidence: 97%

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

ALKHATIB,

Snodin,

Dunne

2023

Preprint

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Robotic surgery is a rapidly developing and evolving surgical technique. This literature review evaluates the advantages and disadvantages in the context of gallbladder disease comparing robotic Cholecystectomy to the well-established laparoscopic Cholecystectomy. Significant advantages are reduced operative blood loss, hospital stays and post operative pain, alongside increased patient satisfaction and improved visualization and precision compared to the laparoscopic approach. Disadvantages include lack of tactile feedback, significant cost attributed to equipment, training requirements and increased procedural time due to the set-up sequences. The implementation of robotic surgery also poses significant changes for the training of future surgeons. Whilst it can standardize training and increases opportunity for simulation, the concern is the loss of traditional skills. Currently the evidence base remains mixed however the use of robotics in the right setting, with suitably trained operatives and appropriate patients can enable improved outcomes for patients with gallbladder disease. There is a lot of scope for development including the implementation of tactile feedback to aid operative technique and artificial intelligence to aid patient safety. Likely broadening the use and potential benefit of robotic surgery not only for cholecystectomy but many surgical specialties.

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“…Even with the more recent generation of mini instruments, MLC does not offer any clear advantages over conventional laparoscopic cholecystectomy. This is especially true due to the hybrid use of 5 and 10 mm trocars for the camera and the removal of thick-walled gallbladders or large stones, making a pure MLC inapplicable and keeping the technique reserved for only a few selected cases ( 9 ). However, considering the global surgical community's strong interest in NOTES and SILC procedures, and significant concerns about the steep learning curve for MLC, safety and cost persist.…”

Section: Introductionmentioning

confidence: 99%

Cost-effective scarless cholecystectomy using a modified endoscopic minimally invasive reduced appliance technique (Emirate)

Hassan

Alsalameh

et al. 2023

Front. Surg.

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The current gold-standard surgical treatment for symptomatic gallstone disease is the conventional four-port laparoscopic cholecystectomy (CLC). In recent years, however, celebrities and social media have altered people's attitudes regarding surgery. Consequently, CLC has undergone several changes to reduce scarring and improve patient satisfaction. In this case-matched control study, the cost-effectiveness of a modified endoscopic minimally invasive reduced appliance technique (Emirate) that uses less equipment and three 5 mm reusable ports only at precisely specified anatomical sites was compared to CLC.MethodsSingle-center retrospective matched cohort analysis including 140 consecutive patients treated with Emirate laparoscopic cholecystectomy (“ELC-group”), matched 1:1 by sex, indications for surgery, surgeon expertise, and preop bile duct imaging, with 140 patients receiving CLC in the same period of time (“CLC group”).ResultsWe performed a retrospective case-matched review of 140 patients who had Emirate laparoscopic cholecystectomy for gallstones between January 2019 and December 2022. The groups included 108 females and 32 males with an equal ratio of surgical expertise—115 procedures were performed by consultants and 25 by trainees. In each group, 18 patients had preoperative MRCP or ERCP and 20 had acute cholecystitis as indications for surgery. Preoperative characteristics such as age (39 years in the Emirates group and 38.6 years in the CLC group), BMI (29.3 years in the Emirates group and 30 years in the CLC group), stone size, or liver enzymes showed no statistical difference between the two groups. In both groups, the average hospital stay was 1.5 days, and there was no conversion to open surgery, nor was there any bleeding requiring blood transfusion, bile leakage, stone slippage, bile duct injury, or invasive intervention postoperatively. When compared to the CLC group, the ELC group had significantly faster surgery times (t-test, p = 0.001), lower levels of the bile duct enzyme ALP (p = 0.003), and much lower costs (t-test, p = 0.0001).ConclusionThe Emirate laparoscopic cholecystectomy method is a safe alternative to the traditional four-port laparoscopic cholecystectomy that is also much faster and less expensive.

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Comparative outcomes of single-incision laparoscopic, mini-laparoscopic, four-port laparoscopic, three-port laparoscopic, and single-incision robotic cholecystectomy: a systematic review and network meta-analysis

Cited by 11 publications

References 32 publications

Gallstone-related complications and evidence base treatments. A scoop review

Gallstone-related complications and evidence base treatments. A scoop review

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

Cost-effective scarless cholecystectomy using a modified endoscopic minimally invasive reduced appliance technique (Emirate)

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