Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Series Report Volume 9 Issue 5

A Comparison Between the Surgical Outcomes of Robotic vs Laparoscopic Cholecystectomies: A Case Series Report

Danielle Susan John1* and Mohammed Rifat Hossain2 

1Oncosurgery, Medical University Pleven, Bulgaria
2General Medicine, QEH King’s Lynn NHSFT, University of Bedfordshire, United Kingdom

*Corresponding Author: Danielle Susan John, Oncosurgery, Medical University Pleven, Bulgaria.

Received: March 27, 2025; Published: May 21, 2025

Abstract

Background: Minimally invasive surgery, including laparoscopic cholecystectomy (LC), is preferred for quicker recovery, reduced infection risk, and better cosmetic results. LC has been the standard for gallbladder disease since the 1990s, with 78,000 procedures in the UK in 2023. Robotic-assisted cholecystectomy (RC), introduced in 2002, offers improved precision, dexterity, and 3D visualisation, potentially reducing tissue trauma and recovery time. However, RC is more expensive but shows better outcomes in complex cases. Present studies suggest similar outcomes for both methods. 

Methods: All patients undergoing robotic or laparoscopic cholecystectomy at the university hospital were identified using the institutional clinical data repository.

This study was structured as a retrospective case series. Patients were stratified into two groups by operative approach and further comparisons were carried out based on pre and post op clinical outcomes.

Results: Six patients in total were a part of this case series; with three each who underwent an LC and an RC respectively. There were no significant differences in demographics or BMI, and no significant differences in pre op co morbidities. Patients that underwent a robotic cholecystectomy had longer operative durations, as well as a marginally longer post op hospital stay as compared to patients who underwent a laparoscopic procedure.

Conclusion: Laparoscopic cholecystectomy is associated with shorter operating times and hospital stay as compared to RC. Surgeon comfort levels and availability, hospital costs and patient preference should dictate whether cholecystectomies are approached robotically or laparoscopically.

 Keywords: Robotics; Cholecystectomy; Laparoscopy; Surgery

References

  1. Mohiuddin Kamran and Scott J Swanson. “Maximizing the Benefit of Minimally Invasive Surgery”. Journal of Surgical Oncology5 (2013): 315-319.
  2. Innes Karen., et al. “Laparoscopic Cholecystectomy versus Conservative Management for Adults with Uncomplicated Symptomatic Gallstones: The C-GALL RCT”. Health Technology Assessment1 (2023): 1-151.
  3. Singh Anurag., et al. “Laparoscopic versus Robotic Cholecystectomy: A Systematic Review with Meta analysis to Differentiate between Postoperative Outcomes and Cost effectiveness”. Translational Gastroenterology and Hepatology3 (2024).
  4. Kane William J., et al. “Robotic Compared with Laparoscopic Cholecystectomy: A Propensity Matched Analysis”. Surgery2 (2020): 432-435.
  5. Kalata Stanley., et al. “Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy”. JAMA Surgery 158 (2023): 1303-1310.
  6. Maegawa Felipe B., et al. “Robotic Compared with Laparoscopic Cholecystectomy: A National Surgical Quality Improvement Program Comparative Analysis”. Surgery108772 (2024).
  7. SAGES Webmaster. “DaVinci Surgical System (Intuitive Surgical, Sunnyvale, CA) - a SAGES Technology and Value Assessment”. SAGES (2016).

Citation

Citation: Danielle Susan John and Mohammed Rifat Hossain. “A Comparison Between the Surgical Outcomes of Robotic vs Laparoscopic Cholecystectomies: A Case Series Report”.Acta Scientific Medical Sciences 9.6 (2025): 84-86.

Copyright

Copyright: © 2025 Danielle Susan John and Mohammed Rifat Hossain. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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