title: Single-site robotic cholecystectomy: efficiency and cost analysis.
abstract: BACKGROUND
  Single-incision surgery has gained in popularity, and the recent development of specialized robotic and laparoscopic instruments may remove some of the ergonomic and technical difficulties associated with this approach. However, questions of cost and efficiency remain.
  
  
  METHODS
  We prospectively collected perioperative outcome and efficiency (operative time, case volume) data for our single-site robotic cholecystectomy cases and retrospectively reviewed data for our single-incision laparoscopic cholecystectomy cases.
  
  
  RESULTS
  There were no differences in patient characteristics or perioperative outcomes between the robotic (n = 20) and laparoscopic (n = 10) groups; operative times were equivalent (84.6 vs 85.5 min; p = 0.8737) and blood loss and complications were minimal. There was a higher robotic case volume, with an average of two robotic cases (range 1-4)/day vs one/day for laparoscopic cases (range 1-1; p = 0.0306). Streamlined instrument costs were essentially equivalent.
  
  
  CONCLUSIONS
  Robotic single-site cholecystectomy is a safe, cost-effective alternative to single-incision laparoscopic cholecystectomy in a robot-existing model.
authors: Texas Institute for Robotic Surgery and Austin Diagnostic Clinic, Austin, TX, USA.
authors: Francis A
authors: FA
authors: Buzad
authors: Louis M
authors: LM
authors: Corne
authors: Thomas C
authors: TC
authors: Brown
authors: Randy S
authors: RS
authors: Fagin
authors: April E
authors: AE
authors: Hebert
authors: Charles A
authors: CA
authors: Kaczmarek
authors: Angie N
authors: AN
authors: Pack
authors: Thomas N
authors: TN
authors: Payne
mesh_terms: D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D012189:Retrospective Studies; D012371:Robotics / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
keywords: SILS; cholecystectomy; gall bladder disease; gall bladder surgery; laparoscopic single incision; robotic single site