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2014 ; 1
(1
): 1-64
Nephropedia Template TP
gab.com Text
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English Wikipedia
Current Status of Single-Site Robotic Cholecystectomy, its feasibility, economic
and overall impact
#MMPMID26425733
Vyas D
; Weiner C
; Vyas AK
Am J Robot Surg
2014[Jun]; 1
(1
): 1-64
PMID26425733
show ga
This paper reviews recent, though limited, articles on the topic of robotic
single-site cholecystectomy (RSSC), a relatively new approach that is rapidly
advancing in both research and clinical application. Laparoscopy has typically
been the standard method of performing a cholecystectomy, but recent medical
advances have led to usage of the da Vinci(®) Surgical System robot technology to
assist in performing the procedure. Several studies have compared outcomes of the
RSSC to single-port laparoscopic cholecystectomies and to the traditional
multiport laparoscopic cholecystectomies. Single port advocates think it as a
tool with better cosmetic results and questionable less post-operative pain;
however, single port also limits the maneuverability of the instrument arms,
making some tasks more difficult, bigger single incision, more chances of post
operative hernia. Overall, the RSSC is considered as safe with no worse outcomes
regarding pain, hospital stay length, operative time, and patient satisfaction
when compared to other cholecystectomy methods. Future direction includes
expanding use of the miniature instruments and further advanced tools to overcome
manipulation and visualization limitations. Thus far, though, there may be enough
evidence with these smaller studies to support lack of harm with more use of
resources.