Robotic-assisted cholecystectomy: Current status and future application

Chandhok, Simran; Chao, Phillip; Koea, Jonathan; Srinivasa, Sanket

doi:10.1016/j.lers.2022.06.002

Cited by 10 publications

(2 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is noticeable that robotic technique improves visualization and precision, eliminates fulcrum effect and allows for higher dexterity, therefore better control, however, the absence of the tactile feedback, may impair the surgeon's ability to detect tissue texture, tension, and depth perception [12,13].…”

Section: Lack Of Tactile Feedbackmentioning

confidence: 99%

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

ALKHATIB,

Snodin,

Dunne

2023

Preprint

View full text Add to dashboard Cite

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.

show abstract

Section: Lack Of Tactile Feedbackmentioning

confidence: 99%

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

ALKHATIB,

Snodin,

Dunne

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…For instance, robot-assisted cholecystectomy may provide superior outcomes for certain indications (e.g., Mirizzi syndrome) and populations (e.g., chronic liver disease), which are not amenable to RCTs, by an experienced RAS surgeon. 33 Therefore, the assessment of the value of RSS for the health system is perhaps more complex than a particular medical device designed for a specifically defined indication.…”

Section: The Value Of Robot-assisted General Surgery In the Aotearoa ...mentioning

confidence: 99%

Robot-assisted general surgery in Aotearoa New Zealand

Srinivasa,

Chao,

Koea

et al. 2023

NZMJ

View full text Add to dashboard Cite

Robot-assisted surgery refers to a surgeon controlling a robotic device that performs an operation. This viewpoint explores the current state of robot-assisted surgery in Aotearoa New Zealand using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, California, United States), the only currently available robotic surgical system for general surgery in the country. We describe the contemporary progress in Aotearoa New Zealand compared to Australia and globally, and present emerging high-level evidence from randomised controlled trials regarding the utility of the robot-assisted approach for general surgery procedures. From the available evidence, we suggest that the value of robot-assisted general surgery in the public healthcare system arises from its emerging clinical benefits for complex procedures and its potential to engender equitable access and outcomes, particularly for Māori and Pacific peoples, improve education and training and contribute towards quality assurance and workforce development. Therefore, its implementation aligns with the New Zealand Health Strategy's long-term goals and priority areas to achieve pae ora, a healthy future for all.

show abstract

Online videos of robotic-assisted cholecystectomies: more harm than good?

Brian,

Gomes,

Alseidi

et al. 2024

Surg Endosc

View full text Add to dashboard Cite

Background Many surgeons use online videos to learn. However, these videos vary in content, quality, and educational value. In the setting of recent work questioning the safety of robotic-assisted cholecystectomies, we aimed (1) to identify highly watched online videos of robotic-assisted cholecystectomies, (2) to determine whether these videos demonstrate suboptimal techniques, and (3) to compare videos based on platform. Methods Two authors searched YouTube and a members-only Facebook group to identify highly watched videos of robotic-assisted cholecystectomies. Three members of the Society of American Gastrointestinal and Endoscopic Surgeons Safe Cholecystectomy Task Force then reviewed videos in random order. These three members rated each video using Sanford and Strasberg’s six-point criteria for critical view of safety (CVS) scoring and the Parkland grading scale for cholecystitis. We performed regression to determine any association between Parkland grade and CVS score. We also compared scores between the YouTube and Facebook videos using a t test. Results We identified 50 videos of robotic-assisted cholecystectomies, including 25 from YouTube and 25 from Facebook. Of the 50 videos, six demonstrated a top-down approach. The remaining 44 videos received a mean of 2.4 of 6 points for the CVS score (SD = 1.8). Overall, 4 of the 50 videos (8%) received a passing CVS score of 5 or 6. Videos received a mean of 2.4 of 5 points for the Parkland grade (SD = 0.9). Videos on YouTube had lower CVS scores than videos on Facebook (1.9 vs. 2.8, respectively), though this difference was not significant (p = 0.09). By regression, there was no association between Parkland grade and CVS score (p = 0.13). Conclusion Publicly available and closed-group online videos of robotic-assisted cholecystectomy demonstrated inadequate dissection and may be of limited educational value. Future work should center on introducing measures to identify and feature videos with high-quality techniques most useful to surgeons. Graphical abstract

show abstract

Robotic-assisted cholecystectomy: Current status and future application

Cited by 10 publications

References 56 publications

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

Robot-assisted general surgery in Aotearoa New Zealand

Online videos of robotic-assisted cholecystectomies: more harm than good?

Contact Info

Product

Resources

About