Fulltext

Robotic Single-Port Cholecystectomy Using a New Platform: Initial Clinical Experience

Morel, Philippe ; Hagen, Monika ; Bucher, Pascal ; Buchs, Nicolas ; Pugin, Francois

In: Journal of Gastrointestinal Surgery, 2011, vol. 15, no. 12, p. 2182-2186

Ajouter à la liste personnelle
    Titre
    • Robotic Single-Port Cholecystectomy Using a New Platform: Initial Clinical Experience
    Auteur
    • Morel, Philippe. Division of Digestive Surgery, Department of Surgery, University Hospital Geneva, 4, Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland
    • Hagen, Monika. Division of Digestive Surgery, Department of Surgery, University Hospital Geneva, 4, Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland
    • Bucher, Pascal. Division of Digestive Surgery, Department of Surgery, University Hospital Geneva, 4, Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland
    • Buchs, Nicolas. Division of Digestive Surgery, Department of Surgery, University Hospital Geneva, 4, Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland
    • Pugin, Francois. Division of Digestive Surgery, Department of Surgery, University Hospital Geneva, 4, Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Journal of Gastrointestinal Surgery, 2011, vol. 15, no. 12, p. 2182-2186. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:318974
    Summary
    Background: The technique of single-port laparoscopy was developed over the past years in an attempt to reduce the invasiveness of surgery. A reduction of incisions and their overall size might result in enhanced postoperative cosmesis and potentially reduce pain when compared to conventional techniques. While manual single-port laparoscopy is technically challenging, a newly approved robotic platform used with the da Vinci Si System (Intuitive Surgical, Sunnyvale, CA, USA) might overcome some of the difficulties of this technique. Methods: Patients with cholelithiasis were scheduled for robotic single-port cholecystectomy in an initial clinical trial. Demographic data, intra- and short-term postoperative results were assessed prospectively. Results: Twenty-eight patients (22 females/6 males; median age, 48years) underwent robotic single-port cholecystectomy in our first week of clinical cases. Median OR time was 80min with a median docking time of 8min and median robotic console time of 53min. Two patients underwent intraoperative cholangiography. Eight cases presented with adhesions, tissue alterations, or anatomical abnormalities. No conversions, intra- or postoperative complications occurred. Conclusion: Robotic single-port cholecystectomy appears feasible and safe in our early experience. The robotic approach to single-port surgery seems to overcome some of the technical difficulties of manual single-port surgery. This robotic platform may facilitate completion of more complex cases