ArticleSurgery2020
Robotic compared with laparoscopic cholecystectomy: A propensity matched analysis.
Article in Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 8 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 8 syntheses or guidelines pooled it, 89 citations in OpenAlex.
- Clinical outcomes of laparoscopic versus robotic cholecystectomy approaches: a systematic review and GRADE assessment meta-analysis.Journal of robotic surgery · 2025Pooled it
- Pooled it
- Single-surgeon training of 14 novice surgeons in robotic cholecystectomy: a study of 300 consecutive cases, assessing training outcomes and surgical performance.Journal of robotic surgery · 2025Pooled it
- Robotic versus laparoscopic general surgery in the emergency setting: a systematic review.Journal of robotic surgery · 2024Pooled it
- Robotic-assisted cholecystectomy versus conventional laparoscopic cholecystectomy for benign gallbladder disease: a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Systematic review: robot-assisted versus conventional laparoscopic multiport cholecystectomy.Journal of robotic surgery · 2023Pooled it
- Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: a systematic review.Systematic reviews · 2021Pooled it
- Robotic versus Laparoscopic Cholecystectomy: Length of Stay and Readmission.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Beyond individual complications: textbook outcome in elective minimally invasive cholecystectomy and the role of robotic approach.Journal of robotic surgery · 2026Article
- Robotic Cholecystectomy: Outcomes, Safety, and Value in the Era of Advanced Technology.Journal of surgery and research · 2026Article
- Robotic versus laparoscopic surgery in hepatobiliary procedures: a scoping review.BMC surgery · 2026Article
- Differences in utilization and outcomes for laparoscopic versus robotic cholecystectomy in patients with class IV obesity: a retrospective cohort analysis of the NSQIP database.Surgical endoscopy · 2026Article
- Robot-assisted cholecystectomies take less time to perform than laparoscopy in the urgent setting: a single-centered study evaluating elective and urgent cases.Journal of robotic surgery · 2026Article
- Acute cholecystitis in the robotic era: comparative safety and feasibility of robotic and laparoscopic cholecystectomy in an acute care surgery service.Journal of robotic surgery · 2026Article
- A single-center experience of over 600 cases of robotic cholecystectomy: a propensity score match analysis.Surgical endoscopy · 2026Article
- Robotic versus pure laparoscopic approach to subtotal fenestrating cholecystectomy: does the robot improve postoperative outcomes?Surgical endoscopy · 2026Article
- An artificial intelligence-based image recognition model using indocyanine green cholangiography to identify the hepatocystic triangle during minimally‑invasive cholecystectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Article
- Robotic versus laparoscopic surgery: a comparative assessment of outcomes, complications, recovery, and cost.Journal of medicine and life · 2025Review
- Initial experience of benign upper gastrointestinal robotic-assisted surgery: first 200 cases and early postoperative outcomes.Annals of the Royal College of Surgeons of England · 2025Article
- Preliminary comparative outcomes of Versius Robotic System-assisted cholecystectomy and laparoscopic cholecystectomy for benign gall bladder disease: Retrospective single-centre, single-surgeon analysis.Journal of minimal access surgery · 2025Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAs robotic surgery becomes more ubiquitous, determining clinical benefit is necessary to justify the cost and time investment required to become proficient. We hypothesized that robotic cholecystectomy would be associated with improved clinical outcomes but also increased cost as compared with standard laparoscopic cholecystectomy. MATERIALS AND
methodsAll patients undergoing robotic or laparoscopic cholecystectomy at a single academic hospital between 2007 and 2017 were identified using an institutional clinical data repository. Patients were stratified by operative approach (robotic versus laparoscopic) for comparison and propensity score matched 1:10 based on relevant comorbidities and demographics. Categorical variables were analyzed by the χ
resultsA total of 3,255 patients underwent cholecystectomy during the study period. We observed no differences in demographics or body mass index, but greater rates of diabetes mellitus, hypertension, and gastroesophageal reflux disease were present in the laparoscopic group. After matching (n = 106 robotic, n = 1,060 laparoscopic), there were no differences in preoperative comorbidities. Patients who underwent robotic cholecystectomy had lesser durations of stay (robotic: 0.1 ± 0.7 versus laparoscopic: 0.8 ± 1.9, P < .0001) and lesser 90-day readmission rates (robotic: 0% [0], laparoscopic: 4.1% [43], P = 0.035); however, both operative and hospital costs were greater compared with laparoscopic cholecystectomy.
conclusionRobotic cholecystectomy is associated with lesser duration of stay and lesser readmission rate within 90 days of the index operation, but also greater operative duration and hospital cost compared with laparoscopic cholecystectomy. Hospitals and surgeons need to consider the improved clinical outcomes but also the monetary and time investment required before pursuing robotic cholecystectomy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.