چکیده (انگلیسی):

y Background: Laparoendoscopic single-site surgery (LESS) has emerged as a result
of a search for “pain-less” and “scar-less” surgery. Laparoendoscopic single-site cholecystectomy
(LESS-C) is probably the most common application in general surgery, although it harbors
certain limitations. It was proposed that the da Vinci Single-Site (Si) robotic system may overcome
some of the difficulties experienced during LESS, providing three dimensional views and
the ability to work in a right-handed fashion. Thirty-six robotic single port cholecystectomies
(R-LESS-C) performed with the da Vinci Si robotic system are evaluated in this paper
Materials and methods: R-LESS-C performed in 36 patients were reviewed. The data related to
the perioperative period (i.e., anesthesia time, operation time, docking time, and console
time) was recorded prospectively, whereas the hospitalization period, postoperative visual
analogue scale (VAS) pain scores were collected retrospectively.
Results: A total number of 36 patients, with a mean age of 40.1 years (21e64 years), underwent
R-LESS-C. There were five men and 31 women. The mean anesthesia and operation times
were 79.3 minutes (45e130 minutes) and 61.8 minutes (34e110 minutes), respectively. The
mean docking time was 9.8 minutes (4e30 minutes) and the mean console time was 24.9 minutes
(7e60 minutes). The mean hospital stay was 1.05 days (1e2 days) and the mean pain
score (VAS) was 3.6 (2e8) in the first 24 hours. Incisional hernia was recorded in one patient.
Conclusion: R-LESS-C can be performed reliably with acceptable operative times and safety. The
da Vinci Si robotic system may ease LESS-C. Two issues should be considered for routine use: expensive
resources are needed and the incidence of incisional hernia may increase.