Comparing The Outcomes Between Robotic And Laparoscopic Cholecystectomy For Acute Cholecystitis
*Zamaan Hooda, *Toghrul Talishinskiy, *Sydney Abaijan, *Sayali Kulkarni, *Ahmad Hlahyel, *Elizabeth Kiselak, *Scott Wessner
Department of Surgery, St. Joseph's University Medical Center, Totowa, NJ, United States.
Introduction: Laparoscopic cholecystectomy is the ?gold standard? surgical approach for acute cholecystitis. Recently, there has been increased interest in robotic-assisted cholecystectomy for acute cholecystitis and its outcomes compared to the laparoscopic approach. Currently, there is a paucity of literature pertaining to this topic. This study compares length of operative time and clinical outcomes between these two techniques. Study Design: A one-year retrospective analysis at a single institution was performed of patients that underwent laparoscopic or robotic-assisted cholecystectomy. Patients that were excluded from the study were those undergoing elective cholecystectomy, cases involving intraoperative cholangiogram and final pathology inconsistent with acute cholecystitis. The variables compared were length of operative time, postoperative complications and conversion to open cholecystectomy. Unpaired T-test was then utilized to compare the collected information. Results: 103 total patients (55 in the laparoscopic cholecystectomy group, 48 in the robotic-assisted cholecystectomy group) were included in the study. Average operative time for laparoscopic cholecystectomy was 108.6 minutes (SD of 25.7 minutes) and 104.1 minutes (SD of 18.6 minutes) for robotic-assisted cholecystectomy (P=.32). Three patients had postoperative complications with the laparoscopic cholecystectomy approach. Zero cases of postoperative complications occurred with the robotic-assisted approach (P=.10). Conversion to open cholecystectomy occurred once with laparoscopic cholecystectomy, which was not required during any of the robotic-approach cases (P=.35). Conclusions: Our data indicates that robotic-assisted cholecystectomy is a feasible option for the surgical treatment of acute cholecystitis. Although our data suggests that the robotic approach is associated with decreased operative time, less risk of postoperative complications and open conversion, further data is required to determine clinical significance.
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