ArticleTrauma surgery & acute care open2024
Robotic versus Laparoscopic Emergency and Acute Care Surgery: Redefining Novelty (RLEARN): feasibility and benefit of robotic cholecystectomy for acute cholecystitis at a level 1 trauma center.
Article in Trauma surgery & acute care open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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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
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Clinical outcomes of laparoscopic versus robotic cholecystectomy approaches: a systematic review and GRADE assessment meta-analysis.Journal of robotic surgery · 2025Pooled it
- Current evidence and reported experiences for robot-assisted emergency general surgery: systematic review.Journal of robotic surgery · 2025Pooled it
- Pooled it
- Robotic Cholecystectomy: Outcomes, Safety, and Value in the Era of Advanced Technology.Journal of surgery and research · 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
- Review
- Robotic Surgery in Acute Care: A Systematic Review of Its Role in Visceral Trauma and Emergency General Surgery.Cureus · 2026Review
- Robotic surgery in acute care, trauma, and critical care settings: a dual-dataset, data-driven bibliometric analysis of global research trends, emerging themes, and future directions.Journal of robotic surgery · 2026Article
- Robotic emergency general surgery, future or fallacy?: case-matched comparison of operative and clinical outcomes during the adoption phase in a tertiary centre.Journal of robotic surgery · 2025Article
- Optimizing robotic utilization: the role of preoperative grading scales in prioritizing robotic surgery for minimally invasive cholecystectomy.Trauma surgery & acute care open · 2025Article
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: This study aims to compare outcomes of robotic cholecystectomy (RC) versus laparoscopic cholecystectomy (LC) in the setting of a level 1 trauma center. Methods: We performed a retrospective study of our hospital data (2021-2024) on patients who underwent LC or RC. Using a previously validated intraoperative grading system, four grades of cholecystitis were defined as mild (A), moderate (B), severe (C), and extreme (D). Outcomes were operative times and rates of conversion to open surgery. Results: In total, 260 patients (n=130 RC and n=130 LC) were included. Patients were primarily female (69.2%), with mean age of 47±18.3 years. The majority of cases had grade B cholecystitis (41.2%). Patients undergoing RC had lower operative times compared with LC in grade B (101.87±17.54 vs 114.96±29.44 min, p=0.003) and grade C (134.68±26.97 vs 152.06±31.3 min, p=0.038). Conversion rate to open cholecystectomy were similar in both groups (p=0.19). Conclusion: RC had similar results as LC in terms of operative time and in fact has significantly lower operative time in patients with grade B and grade C cholecystitis. Level of evidence: Level III-retrospective study.
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