Safety of robotic cholecystectomy as index training procedure: the UK experience.

Autor: Stefanova I; Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK. irena.stefanova@nhs.net., Alkhatib O; Royal Liverpool Hospital NHS Foundation Trust, Liverpool, UK., Sheel A; Royal Liverpool Hospital NHS Foundation Trust, Liverpool, UK., Alabraba E; Nottingham University Hospitals NHS Trust, Nottingham, UK., Alibrahim M; Leeds Teaching Hospitals NHS Trust, Leeds, UK., Arshad A; University Hospital Southampton NHS Foundation Trust, Southampton, UK., Awan A; University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK., Baron R; Royal Liverpool Hospital NHS Foundation Trust, Liverpool, UK., Bhatti I; University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK., Bhogal R; The Royal Marsden NHS Foundation Trust, London, UK., Dhakshinamoorthy V; University Hospital Southampton NHS Foundation Trust, Southampton, UK., Diaz-Nieto R; Royal Liverpool Hospital NHS Foundation Trust, Liverpool, UK., Dunne D; Royal Liverpool Hospital NHS Foundation Trust, Liverpool, UK., Frampton AE; Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK., Green A; Northumbria Healthcare NHS Foundation Trust, Newcastle-Upon-Tyne, UK., Hajibandeh S; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK., Hamady Z; University Hospital Southampton NHS Foundation Trust, Southampton, UK., Horgan L; Northumbria Healthcare NHS Foundation Trust, Newcastle-Upon-Tyne, UK., Kissane E; Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle-Upon-Tyne, UK., Krishnan S; Hull University Teaching Hospitals NHS Trust, Hull, UK., Kumar R; Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK., Lahiri R; Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK., Lam S; Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., Liau SS; Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., Marangoni G; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK., Moudhgalya S; Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle-Upon-Tyne, UK., Papadopoulos G; University Hospital Southampton NHS Foundation Trust, Southampton, UK., Pencavel T; Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK., Picker S; Northumbria Healthcare NHS Foundation Trust, Newcastle-Upon-Tyne, UK., Ramsingh J; Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle-Upon-Tyne, UK., Riga A; Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK., Silva M; Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Soonawalla Z; Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Subar D; East Lancashire Hospitals NHS Trust, Burnley, UK., Sud V; Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Upasani V; Leeds Teaching Hospitals NHS Trust, Leeds, UK., Wong V; Hull University Teaching Hospitals NHS Trust, Hull, UK., Worthington T; Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK., Yeung KTD; The Royal Marsden NHS Foundation Trust, London, UK., Ahmad J; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Jazyk: angličtina
Zdroj: Surgical endoscopy [Surg Endosc] 2024 Sep; Vol. 38 (9), pp. 4880-4886. Date of Electronic Publication: 2024 Jul 02.
DOI: 10.1007/s00464-024-11006-3
Abstrakt: Aims: To evaluate the safety profile of robotic cholecystectomy performed within the United Kingdom (UK) Robotic Hepatopancreatobiliary (HPB) training programme.
Methods: A retrospective evaluation of prospectively collected data from eleven centres participating in the UK Robotic HPB training programme was conducted. All adult patients undergoing robotic cholecystectomy for symptomatic gallstone disease or gallbladder polyp were considered. Bile duct injury, conversion to open procedure, conversion to subtotal cholecystectomy, length of hospital stay, 30-day re-admission, and post-operative complications were the evaluated outcome parameters.
Results: A total of 600 patients were included. The median age was 53 (IQR 65-41) years and the majority (72.7%; 436/600) were female. The main indications for robotic cholecystectomy were biliary colic (55.5%, 333/600), cholecystitis (18.8%, 113/600), gallbladder polyps (7.7%, 46/600), and pancreatitis (6.2%, 37/600). The median length of stay was 0 (IQR 0-1) days. Of the included patients, 88.5% (531/600) were discharged on the day of procedure with 30-day re-admission rate of 5.5% (33/600). There were no bile duct injuries and the rate of conversion to open was 0.8% (5/600) with subtotal cholecystectomy rate of 0.8% (5/600).
Conclusion: The current study confirms that robotic cholecystectomy can be safely implemented to routine practice with a low risk of bile duct injury, low bile leak rate, low conversion to open surgery, and low need for subtotal cholecystectomy.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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