[Robot-assisted laparoscopic cholecystectomy and fundoplication--initial experiences with the Da Vinci system].
We report on our first five robot-assisted laparoscopic cholecystectomies and one fundoplication (Da Vinci system). No postoperative complications were observed. For the cholecystectomies (three elective and two acute cases) mean operation time was 1 h 35 min, and mean hospital stay was 5 days; for fundoplication the operation time was 2 h 15 min. The main advantages seem to be improved visualization by using a stereo camera und ease of precise dissection by micromechanical instruments directed by masterslaves from a distant console. The main disadvantage is the high cost. To fully evaluate the benefit for the patient, prospective clinical trials are warranted.
Hanisch
E
E
Klinik für Allgemein- und Gefässchirurgie, Klinikum der Johann Wolfgang Goethe-Universität, Frankfurt/Main. E.Hanisch@em.uni-Frankfurt.de
Markus
B
B
Gutt
C
C
Schmandra
T C
TC
Encke
A
A
D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D002769:Cholelithiasis / Q000601:surgery*; D004867:Equipment Design; D018662:Fundoplication / Q000295:instrumentation*; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012371:Robotics / Q000295:instrumentation*; D013525:Surgical Instruments; D016896:Treatment Outcome