Robotic-assisted completion cholecystectomy: A safe and effective approach to a challenging surgical scenario - A single center retrospective cohort study
| Autor: | Erin H. Baker, William B. Lyman, Christoph Tschuor, John B. Martinie, Maria Baimas-George, Patrick N. Salibi, Dionisios Vrochides, Michael Passeri, David A. Iannitti |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Robotic assisted General surgery medicine.medical_treatment Operative Time Biophysics Retrospective cohort study Single Center Robotic assisted surgery Computer Science Applications Postoperative Complications Treatment Outcome Blood loss Robotic Surgical Procedures Operative time Medicine Humans Surgery Cholecystectomy Major complication business Retrospective Studies |
| Zdroj: | The international journal of medical robotics + computer assisted surgery : MRCASREFERENCES. 17(6) |
| ISSN: | 1478-596X |
| Popis: | BACKGROUND Reoperation following a previous subtotal or aborted cholecystectomy presents a challenging surgical scenario that has traditionally required an open completion cholecystectomy. The aim of this study was to describe an institutional experience with a robotic-assisted approach to completion cholecystectomy. METHODS A database was retrospectively audited to identify all patients who underwent robotic-assisted cholecystectomy performed by two hepatopancreatobiliary surgeons at a single centre from 2010 to 2019. RESULTS Twenty six patients who underwent a robotic-assisted completion cholecystectomy were identified. Median operative time was 142 min (48-247 min) with a blood loss of 50 cc (0-500 cc). Minor complications (Clavien-Dindo ≤ II 90 days) occurred in three patients (11.5%) with no major complication or mortality reported. Median hospital length of stay was 1 day (0-6 days) with one patient readmitted. CONCLUSION This study represents to our knowledge the largest series of robotic-assisted completion cholecystectomies to date. The robotic approach appears to be a safe and effective procedure associated with a low morbidity and high success rate. |
| Databáze: | OpenAIRE |
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