Implementation of robotic laparoscopic cholecystectomy in a university hospital.
BACKGROUND
Robot surgery is a further step towards new potential developments in minimally invasive surgery. Surgeons must keep abreast of these new technologies and learn their limits and possibilities. Robot-assisted laparoscopic cholecystectomy has not yet been performed in our institution. The purpose of this report is to present the pathway of implementation of robotic laparoscopic cholecystectomy in a university hospital.


METHODS
The Zeus(R) robot system was used. Experimental training was performed on animals. The results of our experimental training allowed us to perform our first two clinical cases.


RESULTS
Robot arm set-up and trocar placement required 53 and 35 minutes. Operative time were 59 and 45 minutes respectively. The overall operative time was 112 and 80 minutes, respectively. There were no intraoperative complications. Patients were discharged from the hospital after an overnight stay.


CONCLUSIONS
Robotic laparoscopic cholecystectomy is safe and patient recovery similar to those of standard laparoscopy. At present, there are no advantages of robotic over conventional surgery. Nevertheless, robots have the potential to revolutionise the way surgery is performed. Robot surgery is not reserved for a happy few. This technology deserves more attention because it has the potential to change the way surgery is performed.
Vuilleumier
H
H
Department of Surgery, Univeristy of Hospital, CHUV, Lausanne, Switzerland. henri.vuilleumier@chuv.hospvd.ch
Halkic
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N
D000328:Adult; D000368:Aged; D000818:Animals; D017081:Cholecystectomy, Laparoscopic / Q000193:education / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006785:Hospitals, University; D006801:Humans; D012371:Robotics; D013503:Surgery Department, Hospital; D013552:Swine; D013557:Switzerland; D013996:Time and Motion Studies; D016896:Treatment Outcome