Prospective study comparing standard and robotically assisted laparoscopic cholecystectomy

Abstract

The study demonstrates the feasibility of robotically assisted cholecystectomy without system-specific morbidity. There is time loss in several phases of robotic surgery due to equipment setup and deinstallation and therefore, presents no benefit in using the robot in laparoscopic cholecystectomy.

Robotic-assisted Versus Laparoscopic Cholecystectomy

“…Two studies comparing robotic-assisted versus laparoscopic procedures including 10 and 20 patients, respectively, are available. 10,14 These early studies focused mostly on time requirements to perform the procedures, but failed to provide convincing information regarding patient outcome or costs. A few other noncomparative, usually small, case series on robotic-assisted cholecystectomy have been reported demonstrating the feasibility of the procedure.…”

Robotic single-site versus laparoscopic cholecystectomy: Which is cheaper? A cost report and analysis

“…With small early experiences with multi-port roboticassisted cholecystectomy (RAC), increased operative time has been reported and shared to the increased costs [19,20]. With increasing experience, 50 cases of multi-port RAC were reported by Breitenstein and colleagues [14] and showed no increase in operative time.…”

Soft-light Overhead Illumination Systems Improve Laparoscopic Task Performance

“…However, images become more precise and clearer in appearance and stronger in 3-dimensionality when using a magnified laparoscopic view. 13 The results of task B show that the attached shadow cues contribute to better laparoscopic task performance in more high-resolution and stronger 3D images. Furthermore, the results of sequential execution time throughout the tasks support the view that the SOIS is a better illumination system.…”

“…information represents the most important criterion for proceeding with feasible and safe surgery. 13 The da Vinci surgical system currently provides 3D vision using a binocular camera system. The SOIS produces 3-dimensionality by attached shadow cues to the 2D images.…”