Detailed Abstract
[E-poster - Biliary & Pancreas (Biliary Disease/Surgery)]
[EP 212] A Single Surgeon’s Experience for Robotic Single Site Cholecystectomy : Comparison Study with Single Incision Laparoscopic Cho
Joo Dong KIM 1, Dong Lak CHOI 1
1 Division of Hepatobiliary Pancreas Surgery And Liver Transplantation, Department of Surgery, Daegu Catholic University Medical Center, REPUBLIC OF KOREA
Background : Single-incision laparoscopic cholecystectomy (SILC) is still not popular and difficult because of limited movement of instruments. Robotic surgery could offset these ergonomic limitations of SILC and is now considered as good option due to its technical advantages.
Methods : Herein we present a single surgeon’s initial experience of robotic single site cholecystectomy (RSSC) with the DaVinci Xi® system and evaluate its feasibility and safety for benign gallbladder diseases by comparing the outcomes with those of SILC focusing on single surgeon’s experience. We retrospectively analyzed clinical data of patients who underwent RSSC and SILC for benign gallbladder by a single surgeon between January 2015 and October 2023.
Results : Of the 134 patients included, 86(64.2%) underwent RSSC and 48 (35.8%) underwent SILC, respectively. The mean operation time for RSSC was not significantly longer than that for SILC (46.6 min vs 49.1 min, p=0.157) in spite of additional docking time during RSSC. The mean age and body mass index were higher in RSSC group (48.1 vs 38.2 and 23.4 vs 20.7, p=0.000). Neither of additional ports requirement nor conversion to laparotomy occurred in both groups. The incidence of bile spillage during surgery was lower in RSSC group. (4.7% vs 14.6%, p=0.045) The overall complication rate was similar between two groups and no port site hernia were observed in the RSSC group.
Conclusions : RSSC is a technically feasible and safe option for benign gallbladder diseases, with technical and ergonomic advantages and moreover, could be performed safely in advanced age and obese patients without increased risk for incisional hernia.
Methods : Herein we present a single surgeon’s initial experience of robotic single site cholecystectomy (RSSC) with the DaVinci Xi® system and evaluate its feasibility and safety for benign gallbladder diseases by comparing the outcomes with those of SILC focusing on single surgeon’s experience. We retrospectively analyzed clinical data of patients who underwent RSSC and SILC for benign gallbladder by a single surgeon between January 2015 and October 2023.
Results : Of the 134 patients included, 86(64.2%) underwent RSSC and 48 (35.8%) underwent SILC, respectively. The mean operation time for RSSC was not significantly longer than that for SILC (46.6 min vs 49.1 min, p=0.157) in spite of additional docking time during RSSC. The mean age and body mass index were higher in RSSC group (48.1 vs 38.2 and 23.4 vs 20.7, p=0.000). Neither of additional ports requirement nor conversion to laparotomy occurred in both groups. The incidence of bile spillage during surgery was lower in RSSC group. (4.7% vs 14.6%, p=0.045) The overall complication rate was similar between two groups and no port site hernia were observed in the RSSC group.
Conclusions : RSSC is a technically feasible and safe option for benign gallbladder diseases, with technical and ergonomic advantages and moreover, could be performed safely in advanced age and obese patients without increased risk for incisional hernia.
SESSION
E-poster
E-Session 03/21 ALL DAY