Robotic-Assisted Cholecystectomy: Experience from Pakistan.

IF 0.8
Usman Ismat Butt, Mahmood Ayyaz, Muhammad Waris Farooka, Muhammad Umar
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Abstract

Objective: To determine the console time and safety of robotic-assisted cholecystectomy using the Versius system.

Study design: An observational study. Place and Duration of the Study: Department of Surgery, National Hospital and Medical Centre, Lahore, Pakistan, from May 2022 to March 2024.

Methodology: Cases of robotic-assisted cholecystectomy were reviewed. Prospective data was collected. Informed consent regarding surgery and the use of clinical data was obtained. Confidentiality of patient information was maintained. Perioperative variables and postoperative follow-up were recorded, and 90-day morbidity, readmission, and mortality were noted.

Results: A total of 156 cases of robotic-assisted cholecystectomy were performed. Most of the patients were female (n = 115, 73.71%). The overall mean console time was 63.04 ± 33.14 minutes. There were no readmissions, mortality, or 90-day morbidity. Only one patient (0.61%) had a bleeding complication, requiring laparoscopic exploration.

Conclusion: In appropriately selected cases, robotic-assisted cholecystectomy surgery is safe, and its short-term outcomes are comparable to laparoscopic surgery. Console time is influenced by patient gender and gallbladder characteristics.

Key words: Robotic-assisted, Cholecystectomy, Pakistan, Initial experience, Versius system.

机器人辅助胆囊切除术:巴基斯坦的经验。
目的:探讨应用Versius系统进行机器人辅助胆囊切除术的控制时间和安全性。研究设计:观察性研究。研究地点和时间:2022年5月至2024年3月,巴基斯坦拉合尔国家医院和医疗中心外科。方法:回顾机器人辅助胆囊切除术的病例。收集前瞻性数据。获得关于手术和临床数据使用的知情同意。患者信息保密。记录围手术期变量和术后随访,并记录90天的发病率、再入院率和死亡率。结果:共进行了156例机器人辅助胆囊切除术。患者以女性为主(n = 115,占73.71%)。总体平均控制台时间为63.04±33.14分钟。无再入院、死亡或90天发病。只有1例患者(0.61%)出现出血并发症,需要腹腔镜探查。结论:在适当选择的病例中,机器人辅助胆囊切除术是安全的,其短期效果与腹腔镜手术相当。安慰时间受患者性别和胆囊特征的影响。关键词:机器人辅助,胆囊切除术,巴基斯坦,初步经验,Versius系统
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