Table 2.
References | Study design | Outcome | Further notes | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Design | Study period |
n (urgent, robotic) |
n (non-urgent) | Primary study objective | Robot | Differentiated urgent vs. non-urgent | Complications conversions |
Further outcomes of interest | ||
n (other) | ||||||||||
Ayloo et al. [52] | R-NRC | 9/2005–6/2012 | 45 | 134 | MIRC vs. MILC | Da Vinci | No | 1.7% CD ≥ 3; 1.7% CD < 3” |
3 conversions in MILC; OT longer in MIRC |
|
147 | no conversions | |||||||||
Balachandran et al. [53] | R-NRC | 10/2011–7/2014 | 76 | 339 | SIRC vs. MILC | Da Vinci | No | 1% ileus 0.2% bile leakage |
6.5% hernias in SIRC LOS shorter SIRC |
All performed by 1 surgeon |
263 | 2.9% to MILC, 3.2% to open | |||||||||
Bibi et al. [33] | R-NRNC | 6/2012–1/2013 | 31 | 71 | Safety of SIRC | Da Vinci | No | 4% CD < 3 | 50% of conversions due to inflammation | |
– | 3.9% conversions | |||||||||
Buzad et al. [17] | P-NRC | 1/2012–5/2012 | 2 | 18 | SIRC vs. SILC | Da Vinci | No | No complications | No differences in OT and costs | SILC reviewed retrospectively |
10 | No conversion | |||||||||
Cadiére et al. [16] | R-NRNC | 3/1997–2/2001 | 4 | 44 | Feasibility | Da Vinci | No | 25% (n = 1) CD 2 | See also appendicitis | |
98 | no conversions | |||||||||
Chung et al. [29] | R -NRC | 8/2013–1/2015 | 7 | 63 | SILC vs. MILC | Da Vinci | No | n.d | 2.8% 30 d readmission | |
70 | 1.4% conversion to open | |||||||||
Daskalaki et al. [54] | R-NRNC | 7/2011–2/2013 | 28 | 156 | ICG Cholangio-graphy | Da Vinci | No | 1% CD ≥ 3; 2.2% CD < 3 | cholangiography > 94% | |
– | no conversions | |||||||||
Gangemi et al. [28] | R- NRC | 2008–2015 | 130 | 546 | Risk factors for conversion | n.d | N.d | n.d | ||
289 | 0.15% (n = 1) conversions | |||||||||
Giulianotti et al. [15] | R-NRNC | 10/2000–11/2002 | 7 | 45 | Descriptive; RC vs. LC | Da Vinci | No | 1.9% (n = 1) complications n.d | ||
123 | 1.9% (n = 1) conversions | |||||||||
Gonzalez et al. [55] | R-NRC | 1/2012–9/2012 | 20 | 146 | SILC vs. SIRC vs. SPIDER | Da Vinci | No | 1.2% CD ≥ 3; 0.6% CD < 3 | OT for SIRC longer than SILC/SPIDER | |
335 | No (3 additional incisions) | |||||||||
Honaker et al. [56] | R-NRC | 3/2013–2/2014 | 1 | 17 | MIRC vs. MILC | Da Vinci | No | No complications | LOS shorter MIRC | |
40 | No conversions | |||||||||
Jeong Jang et al. [57] | R-NRNC | 4/2019–8/2020 | 2 (5) | 72 (69) | Feasibility of SIRC | Da Vinci | No | 1.35% CD 1 | 3 acute cholecystitis diagnosed intraoperatively | |
– | No conversions | |||||||||
Kalteis et al. [58] | R-NRC | 4/2002–11/2004 | 20 | 52 | Safety and effectiveness | AESOP | No | 1.4% CD < 3 | Liberation of the surgical assistant | |
72 | No conversions | |||||||||
Konstantinidis et al. [18] | P-NRNC | 3/2011–7/2011 | 4 | 41 | Feasibility and effectiveness | Da Vinci | No | 2.2.% CD 3b, 5.3% < CD 3 | 20% intraoperative gallbladder-ruptures | |
– | No conversions | |||||||||
Kornprat et al. [19] | P-NRC | 2001–2006 | 2 | 18 | MIRC vs. MILC | Zeus | No | No complications | OT longer in MIRC | |
26 | No conversions | |||||||||
Kubat et al. [23] | R-NRC | 5/2012–8/2013 | 74 | 76 | Urgent vs. non-urgent MIRC | Da Vinci | Yes | 12% complications in urgent, incl. 1.5% (n = 1) BD injury |
LOS longer in urgent, overall complications + SSI no differences |
|
– | 1.5% (n = 1) conversions | |||||||||
Kulaylat et al. [36] | R-NRC | 1/2015–12/2018 | 10 | 69 | SIRC/MIRC vs. SILC/MILC | Da Vinci | No | “No differences in complications” | OT longer in robotic, costs higher in robotic | Pediatric patients |
220 | No conversions | |||||||||
Li et al. [42] | R-NRC | 8/2013–12/2015 | 17 | 61 | Safety, resources SIRC vs. MILC | Da Vinci | No | 3.8% < CD 3 (20% in MILC) | 1.9% conversion rate in MILC | OT, LOS and costs higher in SIRC |
367 | No conversions | |||||||||
Mattei et al. [59] | R-NRNC | 2013–? | 1 | 19 | Feasibility in pediatric patients | Da Vinci | No | 20% seromas (CD < 3) | OT longer, LOS shorter | |
– | No conversions | |||||||||
Ohmura et al. [14] | R-NRC | 12/2014–3/2017 | 101 | 172 | Feasibility | Soloassist RCM | No | “No device-related complications” | LOS shorter; liberation of surgical assistant | See also appendicitis and hollow organs |
848 | No conversions | |||||||||
Rosales-Velderrain et al. [60] | P-NRNC | 3/2013–5/2015 | 4 | 10 | Safety, feasibility in pediatric patients | Da Vinci | No | 7% (n = 1) seroma | ||
– | No conversions | |||||||||
Schertz et al. [35] | R-NRC | 8/2013–4/2018 | 3/6 | 101/99 | SIRC vs. MIRC | Da Vinci | No | 1 enterotomy (MIRC), 2.9% hernias (SIRC) | OT, LOS in SIRC shorter | |
– | Excluded | |||||||||
Su et al. [61] | R-NRC | 2/2014–9/2015 | 10 | 41 | SIRC vs. SILC | Da Vinci | No | No complications |
OT in urgent longer Pain lower in SIRC |
|
63 | No conversions | |||||||||
Svoboda et al. [20] | P-NRC | 11/2012–2/2014 | 159 | 112 | SIRC in BMI ≥ 30 vs. < 30 | Da Vinci | No | 0.9% (n = 1), incisional hernia | OT longer in obese patients | Inconclusive data |
– | no conversions | |||||||||
Tao et al. [62] | R- NRC | 1/2006–2/2020 | 13 | 161 | MILC vs. MIRC | Da Vinci | No | 12.3% overall in RC | RC vs. LC CD 1 > , CD 2 < , CD 3 equal, no CD IV | All acute cholecystitis diagnosed intraoperatively |
441 | No conversion | |||||||||
Vidovszky et al. [34] | P-NRNC | 1/2012–1/2013 | 13 | 82 | apPlicability of SIRC | Da Vinci | No | 4.2% CD 3; 2.1% < CD 3 |
One disruption of DC 4 technical problems |
5 inflammations diagnosed intraoperatively |
– | 8.4%; 1 due to inflammation | |||||||||
Case Series Case Reports |
CS/CR | 2001–2021 | 11 | Feasibility | Da Vinci (3), Microhand S (1) | No | No complications | Bustos et al. [31]; Hanisch et al. [30]; Milone et al. [32]; Yi et al. [13] | ||
No conversions |
Only statistically significant differences listed
BMI Body mass index, CD Clavien-Dindo classification of complications [8], CR Case report, CS Case series, DC Ductus cysticus, LC laparoscopic cholecystectomy, LOS length of stay, MILC Multi-incision laparoscopic cholecystectomy, MILC Multi-incision robotic cholecystectomy, n.d. not documented, OT Operation Time, P-NRC prospective, non-randomized, controlled, P-NRNC prospective, non-randomized, non-controlled, RC Robotic cholecystectomy, R-NRC retrospective, non-randomized, controlled, R-NRNC retrospective, non-randomized, non-controlled, RCM robotic camera mount, SI Single-Incision, SILC Single-incision laparoscopic cholecystectomy, SIRC Single-incision robotic cholecystectomy