Klein Joshua, Lemma Mekedes, Prabhakaran Kartik, Rafieezadeh Aryan, Kirsch Jordan Michael, Rodriguez Gabriel, Blazar Ilyse, Jose Anna, Zangbar Bardiya
Surgery, Westchester Medical Center, Valhalla, New York, USA.
Trauma Surg Acute Care Open. 2024 Dec 27;9(1):e001522. doi: 10.1136/tsaco-2024-001522. eCollection 2024.
This study aims to compare outcomes of robotic cholecystectomy (RC) versus laparoscopic cholecystectomy (LC) in the setting of a level 1 trauma center.
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.
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).
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 III-retrospective study.
本研究旨在比较在一级创伤中心环境下机器人胆囊切除术（RC）与腹腔镜胆囊切除术（LC）的手术结果。
我们对本院2021年至2024年接受LC或RC手术的患者数据进行了回顾性研究。使用先前验证的术中分级系统，将胆囊炎分为四个等级：轻度（A）、中度（B）、重度（C）和极重度（D）。观察指标为手术时间和转为开放手术的比例。
共纳入260例患者（RC组130例，LC组[130例）。患者以女性为主（69.2%），平均年龄47±18.3岁。大多数病例为B级胆囊炎（41.2%）。B级胆囊炎患者中，RC组的手术时间低于LC组（101.87±17.54分钟对114.96±29.44分钟，p = 0.003）；C级胆囊炎患者中，RC组的手术时间也低于LC组（134.68±26.97分钟对152.06±31.3分钟，p = 0.038）。两组转为开腹胆囊切除术的比例相似（p = 0.19）。
在手术时间方面，RC与LC结果相似，实际上B级和C级胆囊炎患者中，RC的手术时间显著更短。
三级——回顾性研究。
