J Minim Invasive Surg.  2017 Mar;20(1):16-21. 10.7602/jmis.2017.20.1.16.

Single-incision Robotic Cholecystectomy: Initial Experience and Results

• Cheng YY
• Kim HO
• Son BH
• Shin JH
• Lee SR

• KMID: 2371850
• DOI: http://doi.org/10.7602/jmis.2017.20.1.16

Abstract

PURPOSE
Continued efforts to reduce the invasiveness of conventional cholecystectomy techniques have resulted in the development of single-incision cholecystectomy. However, a single-port approach has significant limitations associated with proper triangulation and instrument crowding and collisions. Although the da Vinci Single-Site robotic system has been proposed to overcome these problems, objective evidence of the feasibility and ergonomics of single-incision robotic cholecystectomy (SIRC) is insufficient. Therefore, the present study aimed to evaluate the feasibility and efficacy of SIRC by using objective data obtained from consecutive patients who underwent surgery with the single-incision robotic platform performed by a single surgeon.
METHODS
Forty patients who underwent SIRC between August 2014 and December 2015 were identified. Demographic, perioperative, and postoperative data were collected retrospectively.
RESULTS
The mean docking time was 10.82±4.85 min (range, 4~30 min). The mean console time was 49.63±10.82 min (range, 24~90 min). None of the patients required an additional laparoscopic arm, an additional robotic arm, or conversion to conventional laparoscopic cholecystectomy.
CONCLUSION
SIRC can provide a safe operative procedure, good operative results, and high patient satisfaction, and cause less surgeon fatigue. Therefore, our study results indicate that SIRC is feasible and favorable for both patients and physicians.

Keyword

Laparoscopy; Cholecystectomy; Minimally Invasive surgical procedures

MeSH Terms

Arm
Cholecystectomy*
Cholecystectomy, Laparoscopic
Crowding
Fatigue
Human Engineering
Humans
Laparoscopy
Minimally Invasive Surgical Procedures
Patient Satisfaction
Retrospective Studies
Surgical Procedures, Operative