Robotic cholecystectomy with new port sites

Abstract

Aim: To introduce robotic cholecystectomy (RC) using new port sites on the low abdominal area.

Methods: From June 2010 to June 2011, a total of 178 RCs were performed at Ajou University Medical Center. We prospectively collected the set-up time (working time and docking time) and console time in all robotic procedures.

Results: Eighty-three patients were male and 95 female; the age ranged from 18 to 72 years of age (mean 54.6 ± 15.0 years). All robotic procedures were successfully completed. The mean operation time was 52.4 ± 17.1 min. The set-up time and console time were 11.9 ± 5.4 min (5-43 min) and 15.1 ± 8.0 min (4-50 min), respectively. The conversion rate to laparoscopic or open procedures was zero. The complication rate was 0.6% (n = 1, bleeding). There was no bile duct injury or mortality. The mean hospital stay was 1.4 ± 1.1 d. There was a significant correlation between the console time and white blood cell count (r = 0.033, P = 0.015). In addition, the higher the white blood cell count (more than 10000), the longer the console time.

Conclusion: Robotic cholecystectomy using new port sites on the low abdominal area can be safely and efficiently performed, with sufficient patient satisfaction.

Keywords: Abdominal area; Gallbladder disease; Operation time; Port sites; Robotic cholecystectomy.

Figure 1

Port sites of robotic cholecystectomy. A 12-mm trocar was inserted through a vertical incision below the umbilicus using an open method. The 8-mm ports were placed 7 to 10 cm distant from the endoscope.

Figure 2

Correlation between console time and white blood cell count. There was a significant correlation between console time and white blood cell count (r = 0.182, P = 0.015).