ArticleSurgical endoscopy2018
Robotic single-site versus multiport laparoscopic cholecystectomy: a case-matched analysis of short- and long-term costs.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Pooled it
- Robotic-assisted cholecystectomy versus conventional laparoscopic cholecystectomy for benign gallbladder disease: a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Laparoscopic surgery and robotic surgery for single-incision cholecystectomy: an updated systematic review.Updates in surgery · 2021Pooled it
- Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: a systematic review.Systematic reviews · 2021Pooled it
- Robotic Single-Port Platform in General, Urologic, and Gynecologic Surgeries: A Systematic Review of the Literature and Meta-analysis.World journal of surgery · 2019Pooled it
- Robotic-assisted versus laparoscopic cholecystectomy for benign gallbladder diseases: a systematic review and meta-analysis.Surgical endoscopy · 2018Pooled it
- The First Single-Port Robotic-Assisted Excision of Choledochal Cyst and Hepaticojejunostomy in Children.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025Article
- Review
- Laparoscopic versus robotic cholecystectomy: a systematic review with meta-analysis to differentiate between postoperative outcomes and cost-effectiveness.Translational gastroenterology and hepatology · 2024Article
- Robotic Surgery and Hospital Reimbursement.Seminars in plastic surgery · 2023Review
- Robotic single-port surgery: Preliminary experience in general surgery.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022Article
- [Clinical value of alternative technologies to standard laparoscopic cholecystectomy - single port, reduced port, robotics, NOTES].Chirurgie (Heidelberg, Germany) · 2022Review
- Comparison of short- and long-term postoperative occurrences after robotic single-incision cholecystectomy versus multiport laparoscopic cholecystectomy.Surgical endoscopy · 2022Article
- Article
- Article
- Feasibility and Efficacy of Single-Port Robotic Cholecystectomy Using the da Vinci SP® Platform.JSLS : Journal of the Society of Laparoendoscopic SurgeonsObservational
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultiport laparoscopy is the gold-standard approach for cholecystectomy, and single-port laparoscopy has been developed to further reduce its invasiveness. A specific robotic single-port platform (da Vinci single-site, Intuitive Surgical Inc., Sunnyvale, CA, USA) has been released in 2011, which could technically facilitate single-site cholecystectomy. Current data show its feasibility; however, detailed short- and long-term analyses of costs and comparisons relative to multiport laparoscopy are not available to date.
methodsPatients who underwent robotic single-site cholecystectomy for benign, clinically noninflammatory disease between 2011 and 2015 were matched for disease, age, gender, BMI, ASA classification, diagnosis, and elapsed year of surgery to a cohort of multiport cholecystectomies. Demographic, perioperative, and long-term data were collected retrospectively and analyzed. Perioperative and long-term costs including re-operations due to the primary procedure until February 2017 were compared across both cohorts.
results99 patients who underwent robotic single-site cholecystectomy were matched to 99 patients with multiport cholecystectomy. A higher rate of outpatient procedures in the robotic cohort (31.3 vs. 17.2%, p = 0.0305) was found, and demographic parameters and perioperative clinical outcomes were similar. Perioperative costs were significantly higher for the robotic single-site patients (6158.0 vs. 4288.0 USD, p < 0.0001). With similar follow-up times of 59.0 and 58.9 months, respectively (p = 0.9552), significantly more patients of the robotic Single-Site cohort underwent follow-up surgery (7.1 vs. 0.0%, p = 0.0140), and follow-up costs were significantly higher for the robotic cohort (694.7 vs. 0.0 USD, p = 0.0145).
conclusionWith similar early postoperative clinical results and a higher rate of re-operations, perioperative and long-term costs are significantly higher with robotic Single-Site cholecystectomy compared with multiport cholecystectomy. Considering the unclear clinical value of robotic single-site cholecystectomy and the significant short- and long-term costs, a call for further research and a debate as to who should bear the costs beyond the ones of the gold-standard treatment appear reasonable.
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Registered trials
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