AB068. SOH26AB_0022. Bile duct injury incidence in laparoscopic vs. robotic cholecystectomy: a systematic review
Robotic Session

AB068. SOH26AB_0022. Bile duct injury incidence in laparoscopic vs. robotic cholecystectomy: a systematic review

Orla Conway1, Steohen Murphy1, Dayna van de Hoef2, Kevin Barry3, Emmet Andrews1

1Department of General Surgery, Cork University Hospital, Cork, Ireland; 2Department of General Surgery, University Hospital Galway, Galway, Ireland; 3Director of National Surgical Training Programmes, Royal College of Surgeons in Ireland, Dublin, Ireland

Background: Cholecystectomy is one of the most commonly performed surgical procedures in the world. The current gold standard approach is laparoscopic, which was introduced in the 1980s and overtook the traditional open method. Robotic-assisted cholecystectomy is now increasing in popularity. Bile duct injuries are an important complication associated with cholecystectomy, and the incidence of bile duct injury between different approaches is something that needs to be clearly delineated. This updated systematic review aims to assess the difference in bile duct injury incidence between laparoscopic and robotic cholecystectomy.

Methods: A systematic review of the literature was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two databases were searched—PubMed and EBSCO—yielding a total of seven papers on the topic of choice. Each of these was a retrospective review, performed in the United States of America.

Results: Seven papers were included in this study. Three studies noted a decreased incidence of bile duct injuries in the robotic cholecystectomy group, which was found not to be of statistical significance. Two studies note a significant increase in bile duct injuries in the robotic group. The two remaining studies had comparable incidence.

Conclusions: This review shows a trend towards improved safety with robotic cholecystectomy with regards to bile duct injury incidence. This study was limited by the retrospective nature of the papers included, and this topic would benefit from highly powered, prospective trials to definitively identify the safest method of cholecystectomy for the prevention of bile duct injuries.

Keywords: Cholecystectomy; laparoscopic; robot-assisted; robotic; systematic review

Acknowledgments

None.

Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-26-ab068
Cite this abstract as: Conway O, Murphy S, van de Hoef D, Barry K, Andrews E. AB068. SOH26AB_0022. Bile duct injury incidence in laparoscopic vs. robotic cholecystectomy: a systematic review. Mesentery Peritoneum 2026;10:AB068.

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