title: Single-incision robotic cholecystectomy: A special emphasis on utilization of transparent glove ports to overcome limitations of single-site port.
abstract: BACKGROUND
  The current robotic platform overcomes some limitations of single-incision laparoscopic cholecystectomy (SILC), however, whether robotic surgery is a safe and feasible approach must be investigated.
  
  
  METHODS
  Patients referred for elective surgery willing to undergo single-incision robotic cholecystectomy (SIRC) by consent were enrolled. All procedures were performed by the same team using the same surgical equipment.
  
  
  RESULTS
  Thirty patients underwent SIRC. The mean overall operation time was 53.80 ± 15.20 min (range 32-80) and mean console time was 16.67 ± 5.63 min (range 11-30). The mean postoperative stay was 1.30 ± 0.54 days (range 1-3). There were no perioperative major complications.
  
  
  CONCLUSIONS
  SIRC can be rapidly learnt and safely performed while overcoming the ergonomic difficulties encountered during SILC. SIRC can be a viable alternative treatment for gallbladder diseases in selected patients with strong interest in cosmetic outcomes who are willing to pay the higher costs associated with SIRC.
authors.affiliation: Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Hongeun
authors.identifier: http://orcid.org/0000-0003-2368-0216
authors.initials: H
authors.lastname: Lee
authors.affiliation: Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Doo-Ho
authors.initials: DH
authors.lastname: Lee
authors.affiliation: Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Hongbeom
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Youngmin
authors.initials: Y
authors.lastname: Han
authors.affiliation: Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Sun-Whe
authors.initials: SW
authors.lastname: Kim
authors.affiliation: Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Jin-Young
authors.initials: JY
authors.lastname: Jang
mesh_terms: D000293:Adolescent; D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005705:Gallbladder Diseases / Q000601:surgery; D005932:Gloves, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D065287:Robotic Surgical Procedures / Q000295:instrumentation*; D000072836:Surgical Wound; D055815:Young Adult
keywords: cholecystectomy; da Vinci surgical system; minimally invasive surgery; robotic surgery; single-incision; single-site