Robotic single port cholecystectomy (R-LESS-C): Experience in 36 patients

Abstract

R-LESS-C can be performed reliably with acceptable operative times and safety. The da Vinci Si robotic system may ease LESS-C. Two issues should be considered for routine use: expensive resources are needed and the incidence of incisional hernia may increase.

Da Vinci single site© surgical platform in clinical practice: a systematic review

“…Again, in 2014, Uras et al . described 36 cases of successful SSRC, and concluded that SSRC can be performed reliably with acceptable operative times and safety.…”

Adoption of robotic technology in Turkey: A nationwide analysis on caseload and platform used

“…Multiport or single‐port cholecystectomy was the only procedure in this field, which the robots have been widely used. Single‐port robotic cholecystectomy is an emerging technique with its proposed but not proven advantages, including decreased postoperative pain and increased patient satisfaction . Multiport robotic cholecystectomy has been shown to be equally applicable compared with laparoscopic gold standard counterpart (laparoscopic cholecystectomy) .…”

“…Single-port robotic cholecystectomy is an emerging technique with its proposed but not proven advantages, including decreased postoperative pain and increased patient satisfaction. 35,36 Multiport robotic cholecystectomy has been shown to be equally applicable compared with laparoscopic gold standard counterpart (laparoscopic cholecystectomy). 5 However, need for a surgical expertise in robotic surgery and wide acceptance of laparoscopic cholecystectomy are the major factors limiting the use of robots for cholecystectomy in routine practice.…”

Single‐incision robotic cholecystectomy: A special emphasis on utilization of transparent glove ports to overcome limitations of single‐site port

“…However, the robotic platform itself has limitations such as the instruments used and high expenses associated with instruments. [10][11][12][13][14][15][16][17][18] The current single-site port (Intuitive Surgical, Sunnyvale, CA) used…”

“…Perioperative outcomes Console time (min) [mean ± SD (range)] 53.80 ± 15.20 (32-80) Operation time (min) [mean ± SD (range)] 16.67 ± 5.63(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) …”