Robot-assisted versus laparoscopic single-incision cholecystectomy: results of a randomized controlled trial

Abstract

Da Vinci Single-Site™ cholecystectomy provides significant benefits over Single-Port Laparoscopic Cholecystectomy in terms of surgeon's stress load, matches the standards of the laparoscopic single-incision approach with regard to patients' outcomes but increases expenses. Clinicaltrials.gov registration-No.: NCT02485392.

Robotic surgery for liver, pancreas, and bile duct pathologies: A critical analysis and personal views

“…Robotic cholecystectomy (Table 1) [1][2][3][4][5][6][7][8][9][10][11][12][13] With the current platform available, two major approaches are used: single site and multi-port. We reviewed the current literature and found 2,039 cases listed in the time frame we choose.…”

“…This can result in unexpected blood loss or gallbladder rupture with bile and stone spillage. 1 Single site robotic surgery should be done only by an export. It has a huge advantage over single site laparoscopy as it reduces surgeon's stress load.…”

“…It has a huge advantage over single site laparoscopy as it reduces surgeon's stress load. 1 When used for benign disease, chronic cholecystitis, or biliary dyskinesia, it has been proven to be an acceptable alternative to traditional cholecystectomy in terms of outcomes, although it is more expensive. 2 When compared to single site laparoscopy, the robotic system developed with the Da Vinci Si/Xi© platform gives the surgen or a surgen a huge advantage of wristed instruments with controlled torque.…”

Robotic-assisted single-incision gastric mobilization for minimally invasive oesophagectomy for oesophageal cancer: preliminary results

“…We previously reported our results performing MIE with a single-incision approach using thoracoscopic and laparoscopic procedures, showing perioperative outcomes equivalent to those obtained without a multiple-incision approach [ 16 , 17 ]. Encouraged by recent successful reports using robotic-assisted single-incision laparoscopic procedures in treating various hepatobiliary, pancreatic or obstetric and gynaecological diseases [ 18–20 ], we report our preliminary experience performing single-incision, robotic-assisted laparoscopic gastric mobilization for oesophageal reconstruction during MIE to treat oesophageal cancer.…”

Comparison of Single-Incision Robotic Cholecystectomy, Single-Incision Laparoscopic Cholecystectomy and 3-Port Laparoscopic Cholecystectomy -Postoperative Pain, Cosmetic Outcome and Surgeon’s Workload

“…In addition, it appears to be affected by the same limitations of single-port surgery, consisting of an increased operative time and incidence of port site hernia. 6 In terms of ergonomics, Grochola et al 7 reported that robotic single incision laparoscopic cholecystectomy provides significant benefits over single incision laparoscopic cholecystectomy in terms of the surgeon's stress load but increases the expense. This study has valuable implications in ergonomics and provides first domestic report of a surgeon' s workload assessment in laparoscopic cholecystectomy.…”