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. 2022 Jun 21;17(2):275–290. doi: 10.1007/s11701-022-01425-6

Table 2.

Cholecystitis

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