Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Rudiman, Reno; Hanafi, Ricarhdo Valentino; Almawijaya, Almawijaya

doi:10.1002/ags3.12688

Cited by 5 publications

(5 citation statements)

References 39 publications

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“…Robotic cholecystectomy has become increasingly popular in recent years due to its many potential advantages over traditional laparoscopic cholecystectomy. It offers a more precise and controlled approach, improved visualization of the surgical field [5], reduced operative blood loss [6], shorter hospital stays [7] and reduced post operative pain [8,9]. It has been shown to be safe and effective in the treatment of gallbladder disease, with low rates of complications and high patient satisfaction [10].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown that estimated blood loss in robotic cholecystectomy is relatively comparable to laparoscopic cholecystectomy. [6] A cohort study including 612 patients presented a moderate reduction in the estimated blood loss for robotic cholecystectomy compared to laparoscopic cholecystectomy [7].…”

Section: Reduce Blood Lossmentioning

confidence: 99%

“…The use of robotic technology in cholecystectomy compared to the traditional laparoscopic approach has shown potential benefits, including improved visualization and precision [5], comparable or even lower blood loss [6,7], and most importantly hospital stay [8]. Robotic surgery is a leap in the development of surgical techniques, but the cost-effectiveness over conventional surgery is still controversial.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Reduce Blood Lossmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

ALKHATIB,

Snodin,

Dunne

2023

Preprint

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“…Plenty of published literature had focused on the short-term and long-term outcomes of SIRC to evaluate the feasibility and safety of this novel procedure. In comparison with CMLC and SILC, SIRC had noninferior intraoperative and postoperative outcomes with similar perioperative complication rate, conversion rate, and estimated blood loss, as well as comparable hospital stay and readmission rate 70 – 72 . The total operative time was significantly longer for SIRC, specifically the preoperative time.…”

Section: The Research Status Of Sirasmentioning

confidence: 96%

Clinical status and future prospects of single-incision robotic-assisted surgery: a review

Cheng,

Huang,

Jia

et al. 2023

International Journal of Surgery

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Since the advent of conventional multiport laparoscopic surgery, the prosperity of minimally invasive surgery has been thriving on the advancement of endoscopic techniques. Cosmetic superiority, recovery benefits, and noninferior surgical outcomes weigh single-incision laparoscopic surgery as a promising modality. Although there are surgical challenges posed by steep learning curve and technological difficulties, such as instruments collision, triangulation loss and limited retraction, the establishment of robotic surgical platform as a solution to all is inspiring. Furthermore, with enhanced instrument maneuverability and stability, robotic ergonomic innovations adopt the advantages of single-incision laparoscopic surgery and surmount its recognized barriers by introducing a novel combination, single-incision robotic-assisted surgery. As was gradually diffused in general surgery and other specialties, single-incision robotic-assisted surgery manifests privileges in noninferior clinical outcomes an satisfactory cosmetic effect among strictly selected patients, and has the potential of a preferable surgical option for minimally invasive surgery.

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“…Despite these benefits, patients undergoing robot-assisted laparoscopic cholecystectomy (RALC) still experience significant postoperative pain. Effective pain management in these minimally invasive surgeries is essential for enhancing recovery and reducing opioid dependence, which is associated with adverse effects and risk of dependency [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Intraoperative Nefopam on Postoperative Pain, Opioid Use, and Recovery Quality with Parietal Pain Block in Single-Port Robotic Cholecystectomy: A Prospective Randomized Controlled Trial

Lee,

Kim,

Park

et al. 2024

Medicina

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Background and Objectives: This study explored how nefopam, a non-opioid analgesic in a multimodal regimen, impacts postoperative pain, opioid use, and recovery quality in single-port robot-assisted laparoscopic cholecystectomy (RALC) patients with a parietal pain block, addressing challenges in postoperative pain management. Materials and Methods: Forty patients scheduled for elective single-port RALC were enrolled and randomized to receive either nefopam or normal saline intravenously. Parietal pain relief was provided through a rectus sheath block (RSB). Postoperative pain was assessed using a numeric rating scale (NRS) in the right upper quadrant (RUQ) of the abdomen, at the umbilicus, and at the shoulder. Opioid consumption and recovery quality, measured using the QoR-15K questionnaire, were also recorded. Results: The 40 patients had a mean age of 48.3 years and an average body mass index (BMI) of 26.2 kg/m2. There were no significant differences in the pre- or intraoperative variables between groups. Patients receiving nefopam reported significantly lower RUQ pain scores compared to the controls, while the umbilicus and shoulder pain scores were similar. Rescue fentanyl requirements were lower in the nefopam group in both the PACU and ward. The QoR-15K questionnaire scores for nausea and vomiting were better in the nefopam group, but the overall recovery quality scores were comparable between the groups. Conclusions: Nefopam reduces RUQ pain and opioid use post-single-port RALC with a parietal pain block without markedly boosting RSB’s effect on umbilicus or shoulder pain. It may also better manage postoperative nausea and vomiting, underscoring its role in analgesia strategies for this surgery.

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Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Cited by 5 publications

References 39 publications

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

Robotic Cholecystectomy Advantages and Disadvantages, A Literature Review

Clinical status and future prospects of single-incision robotic-assisted surgery: a review

Impact of Intraoperative Nefopam on Postoperative Pain, Opioid Use, and Recovery Quality with Parietal Pain Block in Single-Port Robotic Cholecystectomy: A Prospective Randomized Controlled Trial

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