AB048. SOH25_AB_323. Systematic review: robotic assisted cholecystectomy versus conventional laparoscopic cholecystectomy
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AB048. SOH25_AB_323. Systematic review: robotic assisted cholecystectomy versus conventional laparoscopic cholecystectomy

Mohamad Alhasan, Lylas Aljohmani

Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland

Background: Robotic surgery, a new technology, offers several potential benefits for complex endoscopic procedures compared to laparoscopic surgery. However, the effectiveness of this new technology remains a topic of debate compared to laparoscopic cholecystectomy (LC). This study aimed to assess the safety and efficiency of robotic versus LC for treating benign gallbladder conditions.

Methods: A thorough search of the literature was carried out using popular databases, including PubMed, EMBASE, Cinahl, Cochrane Library and Scopus, from January 2014 to January 2024 to find studies comparing the safety and effectiveness of robotic assisted cholecystectomy (RAC) and LC. The quality of the literature search was assessed, and the data was analysed using STATA software. Random effects models were utilised for the analysis.

Results: Twenty-eight studies, including two randomized controlled trials (RCTs) and 26 non-randomised clinical studies, were included. A total of 1,034,413 patients were included, of which 28,644 patients underwent RAC and 1,005,769 patients underwent LC. No significant differences were found in postoperative complications rate and estimated blood loss between RAC and LC groups. RAC was found to have less intraoperative complications, a significant reduction in risk of conversion to open surgery and slight reduction in hospital stay. However, RAC was related to longer operative time compared with LC.

Conclusions: Robotic-assisted cholecystectomy presents notable advantages over LC, including fewer intraoperative complications, a lower risk of conversion rate from minimally invasive to open surgery, and a slight reduction in hospital stay despite a longer operative time. While postoperative complication rates and estimated blood loss are comparable between RAC and LC, the distinct benefits of RAC warrant further investigation into its long-term outcomes and cost-effectiveness to guide surgical decision-making.

Keywords: Conventional laparoscopic cholecystectomy (LC); post operative outcomes; post operative complications; robotic assisted cholecystectomy (RAC); 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-25-ab048
Cite this abstract as: Alhasan M, Aljohmani L. AB048. SOH25_AB_323. Systematic review: robotic assisted cholecystectomy versus conventional laparoscopic cholecystectomy. Mesentery Peritoneum 2025;9:AB048.

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