OpenLB
Open Library of Bioscience
Advanced Search
Journal of minimal access surgery
Mar 24, 2025;

Preliminary comparative outcomes of Versius Robotic System-assisted cholecystectomy and laparoscopic cholecystectomy for benign gall bladder disease: Retrospective single-centre, single-surgeon analysis.

Muharrem Oner
Author Information
  1. Muharrem Oner: Department of Surgery, Al-Zahra Hospital, Dubai, United Arab Emirates.
PMID: 40136019 DOI: 10.4103/jmas.jmas_13_24

Abstract

INTRODUCTION: This study aimed to compare the outcomes of Versius Robotic System-assisted cholecystectomy with conventional laparoscopic cholecystectomy for benign gall bladder pathologies, focusing on the perioperative and post-operative parameters.
PATIENTS AND METHODS: A retrospective study was conducted on patients with Versius Robotic System-assisted (Group VRS) or conventional laparoscopic cholecystectomy (Group LAP) between September 2021 and June 2023. Patient demographics, perioperative (operative time, conversion and intraoperative complications) details, post-operative pain management and complications were analysed.
RESULTS: The study included 44 and 58 patients in Groups VRS and LAP. In Group VRS, we detected significantly reduced post-operative pain (P = 0.009), lower opioid use (P = 0.009) and shorter hospital stays (P = 0.029) than in Group LAP. Total operative time was longer in Group VRS (P < 0.001). No intraoperative complications or conversions occurred in either group.
CONCLUSION: Versius Robotic System-assisted cholecystectomy is a safe and feasible approach for benign gall bladder pathologies, offering benefits such as reduced post-operative pain and shorter hospital stays.

References

  1. Gantschnigg A, Koch OO, Singhartinger F, Tschann P, Hitzl W, Emmanuel K, et al. Short-term outcomes and costs analysis of robotic-assisted versus laparoscopic cholecystectomy-a retrospective single-center analysis. Langenbecks Arch Surg 2023;408:299.
  2. Straatman J, Pucher PH, Knight BC, Carter NC, Glaysher MA, Mercer SJ, et al. Systematic review: Robot-assisted versus conventional laparoscopic multiport cholecystectomy. J Robot Surg 2023;17:1967���77.
  3. Samalavicius NE, Kaminskas T, Zidonis Z, Janusonis V, Deduchovas O, Eismontas V, et al. Robotic cholecystectomy using senhance robotic platform versus laparoscopic conventional cholecystectomy: A propensity score analysis. Acta Chir Belg 2022;122:160���3.
  4. Rudiman R, Hanafi RV, Almawijaya A. Single-site robotic cholecystectomy versus single-incision laparoscopic cholecystectomy: A systematic review and meta-analysis. Ann Gastroenterol Surg 2023;7:709���18.
  5. Chowbey P, Dewan A, Sharma A, Khullar R, Soni V, Baijal M. A review of the first 100 robotic cholecystectomies with a new cart-based surgical robot at a tertiary care centre. J Minim Access Surg 2023;19:390���4.
  6. Kelkar DS, Kurlekar U, Stevens L, Wagholikar GD, Slack M. An early prospective clinical study to evaluate the safety and performance of the versius surgical system in robot-assisted cholecystectomy. Ann Surg 2023;277:9���17.
  7. Chen HA, Hutelin Z, Moushey AM, Diab NS, Mehta SK, Corey B. Robotic cholecystectomies: What are they good for? A retrospective study ��� Robotic versus conventional cases. J Surg Res 2022;278:350���5.
  8. Rifai AO, Rembetski EM, Stutts LC, Mazurek ZD, Yeh JL, Rifai K, et al. Retrospective analysis of operative time and time to discharge for laparoscopic versus robotic approaches to appendectomy and cholecystectomy. J Robot Surg 2023;17:2187���93.
  9. Soumpasis I, Nashef S, Dunning J, Moran P, Slack M. Safe ��mplementation of a next-generation surgical robot: First analysis of 2,083 cases in the versius surgical registry. Ann Surg 2023;278:e903���10.
  10. El Dahdah J, Halabi M, Kamal J, Zenilman ME, Moussa H. Initial experience with a novel robotic surgical system in abdominal surgery. J Robot Surg 2023;17:841���6.
  11. Sighinolfi MC, Sarchi L, Gaia G, Formisano G, Turri F, Sangalli M, et al. Multimodular robotic systems (hugo RAS and versius CMR) for pelvic surgery: Tasks and perspectives from the bed-side assistant. J Robot Surg 2023;17:3039���43.
  12. Wehrmann S, Tischendorf K, Mehlhorn T, Lorenz A, G��ndel M, Rudolph H, et al. Clinical implementation of the versius robotic surgical system in visceral surgery-A single centre experience and review of the first 175 patients. Surg Endosc 2023;37:528���34.
  13. Shenoy R, Mederos MA, Ye L, Mak SS, Begashaw MM, Booth MS, et al. Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: A systematic review. Syst Rev 2021;10:124.
  14. Tao Z, Emuakhagbon VS, Pham T, Augustine MM, Guzzetta A, Huerta S. Outcomes of robotic and laparoscopic cholecystectomy for benign gallbladder disease in veteran patients. J Robot Surg 2021;15:849���57.
  15. Aguayo E, Dobaria V, Nakhla M, Seo YJ, Hadaya J, Cho NY, et al. National trends and outcomes of inpatient robotic-assisted versus laparoscopic cholecystectomy. Surgery 2020;168:625���30.
  16. Ghanem M, Shaheen S, Blebea J, Tuma F, Zayout M, Conti N, et al. Robotic versus laparoscopic cholecystectomy: Case-control outcome analysis and surgical resident training ��mplications. Cureus 2020;12:e7641.
  17. Kane WJ, Charles EJ, Mehaffey JH, Hawkins RB, Meneses KB, Tache-Leon CA, et al. Robotic compared with laparoscopic cholecystectomy: A propensity matched analysis. Surgery 2020;167:432���5.
  18. Lin H, Zhang J, Li X, Li Y, Su S. Comparative outcomes of single-incision laparoscopic, mini-laparoscopic, four-port laparoscopic, three-port laparoscopic, and single-incision robotic cholecystectomy: A systematic review and network meta-analysis. Updates Surg 2023;75:41���51.
  19. Arabzadeh A, Seyedsadeghi M, Sadeghi N, Nejati K, Mohammadian Erdi A. Comparison of ��ntraperitoneal bupivacaine and ��ntravenous ketorolac for postoperative pain management following laparoscopic cholecystectomy. Anesth Pain Med 2021;11:e114623.
  20. Abel SA, Dy BM, Al-Lami H, Zeineddin SA, Chandra A, Bingener J, et al. Comparison of short- and long-term postoperative occurrences after robotic single-incision cholecystectomy versus multiport laparoscopic cholecystectomy. Surg Endosc 2022;36:2357���64.
  21. Lee SJ, Moon JI, Choi IS. Robotic single-site cholecystectomy is better in reducing postoperative pain than single-incision and conventional multiport laparoscopic cholecystectomy. Surg Endosc 2023;37:3548���56.
  22. Chandhok S, Chao P, Koea J, Srinivasa S. Robotic-assisted cholecystectomy: Current status and future application. Laparosc Endosc Robot Surg 2022;5:85���91.
  23. Zaman JA, Singh TP. The emerging role for robotics in cholecystectomy: The dawn of a new era? Hepatobiliary Surg Nutr 2018;7:21���8.
  24. Tschuor C, Lyman WB, Passeri M, Salibi PN, Baimas-George M, Iannitti DAxs, et al. Robotic-assisted completion cholecystectomy: A safe and effective approach to a challenging surgical scenario ��� A single center retrospective cohort study. Int J Med Robot 2021;17:e2312.
Journal Article

Word Cloud

Created with Highcharts 10.0.0cholecystectomyGroupVersiusRoboticSystem-assistedpost-operativeVRSP0studylaparoscopicbenigngallbladderLAPcomplicationspain=outcomesconventionalpathologiesperioperativepatientsoperativetimeintraoperativereduced009shorterhospitalstaysINTRODUCTION:aimedcomparefocusingparametersPATIENTSANDMETHODS:retrospectiveconductedSeptember2021June2023PatientdemographicsconversiondetailsmanagementanalysedRESULTS:included4458Groupsdetectedsignificantlyloweropioiduse029Totallonger<001conversionsoccurredeithergroupCONCLUSION:safefeasibleapproachofferingbenefitsPreliminarycomparativedisease:Retrospectivesingle-centresingle-surgeonanalysis

Similar Articles

Cited By

No available data.