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Αλέξανδρος Γ. Σφακιανάκης

Thursday, July 15, 2021

Robotic‐Assisted Completion Cholecystectomy A Safe and Effective Approach to a Challenging Surgical Scenario ‐ A Single Center Retrospective Cohort Study ‐

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Abstract

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 center from 2010 to 2019.

Results

26 patients who underwent a robotic-assisted completion cholecystectomy were identified. Median operative time was 142 minutes (48-247 minutes) with 50cc (0-500cc) blood loss. Minor complications (Clavien-Dindo ≤II 90 days) occurred in 3 patients (11.5%) with no major complication or mortality reported. Median hospital length of stay was one 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.

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