Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 32 (12), 4716-4727

Safety of Single-Incision Robotic Cholecystectomy for Benign Gallbladder Disease: A Systematic Review


Safety of Single-Incision Robotic Cholecystectomy for Benign Gallbladder Disease: A Systematic Review

Marco Migliore et al. Surg Endosc.


Background: Multiport laparoscopic cholecystectomy (MLC) is the gold standard technique for cholecystectomy. In order to reduce postoperative pain and improve cosmetic results, the application of the single-incision laparoscopic cholecystectomy (SILC) technique was introduced, leading surgeons to face important challenges. Robotic technology has been proposed to overcome some of these limitations. The purpose of this review is to assess the safety of single-incision robotic cholecystectomy (SIRC) for benign disease.

Methods: An Embase and Pubmed literature search was performed in February 2017. Randomized controlled trial and prospective observational studies were selected and assessed using PRISMA recommendations. Primary outcome was overall postoperative complication rate. Secondary outcomes were postoperative bile leak rate, total conversion rate, operative time, wound complication rate, postoperative hospital stay, and port site hernia rate. The outcomes were analyzed in Forest plots based on fixed and random effects model. Heterogeneity was assessed using the I2 statistic.

Results: A total of 13 studies provided data about 1010 patients who underwent to SIRC for benign disease of gallbladder. Overall postoperative complications rate was 11.6% but only 4/1010 (0.4%) patients required further surgery. A postoperative bile leak was reported in 3/950 patients (0.3%). Conversion occurred in 4.2% of patients. Mean operative time was 86.7 min including an average of 42 min should be added as for robotic console time. Wound complications occurred in 3.7% of patients. Median postoperative hospital stay was 1 day. Port site hernia at the latest follow-up available was reported in 5.2% of patients.

Conclusions: The use of the Da Vinci robot in single-port cholecystectomy seems to have similar results in terms of incidence and grade of complications compared to standard laparoscopy. In addition, it seems affected by the same limitations of single-port surgery, consisting of an increased operative time and incidence of port site hernia.

Keywords: Minimally invasive surgical procedures; Robotic cholecystectomy; Single site; Systematic review.

Similar articles

See all similar articles


    1. Ann Surg. 2011 Jul;254(1):22-7 - PubMed
    1. Clin Infect Dis. 2005 Sep 15;41(6):e64-6 - PubMed
    1. Surg Endosc. 2007 Aug;21(8):1264-74 - PubMed
    1. Arch Surg. 2005 Oct;140(10):986-92 - PubMed
    1. HPB (Oxford). 2003;5(3):152-8 - PubMed

Publication types

MeSH terms

LinkOut - more resources