Initial experiences of robotic SP cholecystectomy: a comparative analysis with robotic Si single-site cholecystectomy

• Published in: Annals of surgical treatment and research Vol. 100; no. 1; pp. 1 - 7
• Main Authors: Cruz, Charles Jimenez, Huynh, Frederick, Kang, Incheon, Lee, Woo Jung, Kang, Chang Moo
• Format: Journal Article
• Language: English
• Published: Korea (South) 대한외과학회 01.01.2021; The Korean Surgical Society
• Subjects: Original; 일반외과학; Cholecystectomy; Gallstones; Robotics
• ISSN: 2288-6575; 2288-6796
• DOI: 10.4174/astr.2021.100.1.1

The da Vinci SP robotic surgical system (Intuitive Surgical) offers pure SP with 4 lumens, which accommodates the fully-wristed endoscope and 3 arms with multijoint feature. We herein present our initial experience of the da Vinci SP surgical system in robotic single-site cholecystectomy. Thirty consecutive patients with a preoperative diagnosis of gallstones and/or chronic cholecystitis who underwent robotic SP cholecystectomy (RSPC) using da Vinci SP surgical system from January to May 2019 were reviewed. The perioperative outcomes were assessed and compared with those performed using Si-robotic single-site surgical system. Mean docking time was 5.2 minutes. The mean actual dissection time was 14.6 minutes while the mean operation time was 75.1 minutes. Postoperative course was unremarkable and patients were discharged after a mean hospital stay of 1.5 days. In comparative analysis, operation time (109.5 ± 30.0 minutes . 75.1 ± 17.5 minutes, P = 0.001), docking time (11.9 ± 4.3 minutes . 5.2 ± 1.9 minutes, P = 0.001), actual dissection time (34.6 ± 18.4 minutes . 14.6 ± 5.1 minutes, P = 0.001), console time (58.7 ± 23.0 minutes . 32.4 ± 11.6 minutes, P = 0.001), immediate postoperative pain (4.6 ± 1.3 . 3.2 ± 1.0, P = 0.001), and pain prior to discharge (2.0 ± 0.6 . 1.4 ± 0.0, P = 0.002) were significantly improved in RSPC. RSPC is feasible, safe, and effective. The perioperative outcomes are better compared with Si-robotic single-site surgical systems.