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OBJECTIVES
Study and Compare the efficacy and outcomes of robotic assisted cholecystectomy - single site (SSRC) and multiport (MPRC). This is the largest series of cholecystectomies performed with the da Vinci Surgical System (Intuitive Surgical, Inc. Sunnyvale, CA, USA) in the United States.
DESIGN:
Retrospective cohort analysis.
SETTING:
University affiliated community hospital.
PATIENT:
167 patients with symptomatic gallbladder disease that underwent robotic cholecystectomy (MPRC-84 and SSRC 83) between January 2010 and March 2013 were included for this analysis. The mean age was 52.2+- 16.6 for MPRC and 52.4+-17 for SSRC [p=0.95]. Mean BMI was 29.6+-6.1 for MPRC and 27.6+-4.5 [p=0.01].
INTERVENTION:
No intervention was done as this was a retrospective review.
MAIN OUTCOMES:
Operative time, Conversion, Intra and postoperative complications, Length of Stay.
RESULTS:
Ninety six percent of the procedures [160/167] were completed robotically (MPRC vs SSRC,p=0.44) The mean operating time for MPRC was 46.9 ± 15.6 min and SSRC was 50 ± 18.7 min (p=0.86). There were no significant differences in complication rate (13% and 7%, p=0.53) and length of stay between MPRC and SSRC.
CONCLUSION:
Robotic cholecystectomies, both MPRC and SSRC can be safely performed as same day surgery with minimal complications and <5% conversion rates.