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Minerva Chirurgica 2017 April;72(2):140-5

DOI: 10.23736/S0026-4733.16.07179-0

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Robotic single port cholecystectomy: current data and future perspectives

Anastasios ANGELOU, Athanasios SKARMOUTSOS, Georgios A. MARGONIS, Demetrios MORIS, Christos TSIGRIS, Emmanouil PIKOULIS

First Department of Surgery, School of Medicine, University of Athens, Laiko Hospital, Athens, Greece


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INTRODUCTION: Minimally invasive techniques are used more and more frequently. Since conventional laparoscopic approach has been the gold standard, surgeons in their effort to further reduce the invasiveness of conventional laparoscopic cholecystectomy have adopted Single Incision approach. The widespread adoption of robotics has led to the inevitable hybridization of robotic technology with laparoendoscopic single-site surgery (LESS). As a result, employment of the da Vinci surgical system may allow greater surgical maneuverability, improving ergonomics.
EVIDENCE ACQUISITION: A review of the English literature was conducted to evaluate all robotic single port cholecystectomy performed till today. Demographic data, operative parameters, postoperative outcomes and materials used for the operation were collected and assessed.
EVIDENCE SYNTHESIS: A total of 12 studies, including 501 patients were analyzed. Demographics and clinical characteristics of the patients was heterogeneous, but in most studies a mean BMI <30 was recorded. Intraoperative metrics like operative time, estimated blood loss and conversion rate were comparable with those in multiport conventional laparoscopy.
CONCLUSIONS: Robotic single port cholecystectomy is a safe and feasible alternative to conventional multiport laparoscopic or manual robotic approach. However, current data do not suggest a superiority of robotic SILC over other established methods.


KEY WORDS: Robotic surgical procedures - Cholecystectomy - Minimally invasive surgical procedures

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Publication History

Issue published online: February 2, 2017
Article first published online: December 16, 2016
Manuscript accepted: November 25, 2016
Manuscript revised: November 24, 2016
Manuscript received: August 18, 2016

Per citare questo articolo

Angelou A, Skarmoutsos A, Margonis GA, Moris D, Tsigris C, Pikoulis E. Robotic single port cholecystectomy: current data and future perspectives. Minerva Chirurgica 2017;72:140-5. DOI: 10.23736/S0026-4733.16.07179-0

Corresponding author e-mail

aangelou@med.uoa.gr