Abstract

English

Highlights

  • In 1979, the Robot Institute of America defined ‘robot’ as a machine comprised of four characteristics it is ‘reprogrammable’; it is capable of manipulating materials, parts and tools; it performs ‘programmed’ movements and it possesses the ability to perform more than one task

  • Robotic-assisted cholecystectomy is a safe and feasible procedure, even in a community hospital setting, based on current preliminary work done both in Europe and in the United States

  • Robotic-assisted cholecystectomy is comparable to laparoscopic approach, in terms of conversion to open and complication rates

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Summary

Introduction

The rapid ascent of laparoscopic surgery in the 1980’s was largely driven by the number of people who requested it[1]. A recent upgrade used by our institution is the use of the single site upgrade by Intuitive Surgical, Inc., which is a single-port system, comprised of several cannula lumens where the insufflator, camera and instruments can all be placed (Figure 4) This add-on to the da Vinci, further reduces the invasiveness of the procedure by requiring only one small incision near the umbilicus, better cosmesis[16]. The overall docking for a robotic-assisted single-port cholecystectomy does not significantly increase operating time as demonstrated by Iranmanesh et al.[29] and docking of the da Vinci is a rapidly learned process[29] Despite these promising outcomes, the question of whether roboticassisted single-port cholecystectomy remains cost-effective and safer compared to traditional laparoscopic methods, remains unanswered

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