COMPARISON OF LAPAROSCOPY AND ROBOTIC SURGERY IN CHOLECYSTITIS – LITERATURE REVIEW

Keywords: Laparoscopy, Robotic Surgery, Cholecystectomy, Cholecystitis

Abstract

One of the most common diseases in general surgery remains cholecystitis. This is related to the prevalence of gallstones, which affects 10 to 15% of the general population. There are various types of treatment like conservative and surgical treatments, with a distinction between laparoscopic and robotic techniques. Numerous studies have been conducted which prove that laparoscopy is a safe method that significantly reduces the time of convalescence and recovery after surgery. The lack of a clear assessment of the effectiveness of treatment techniques is presented in the following paper.

Advances in medicine have led to the widespread use of robotic arms in surgery, which has resulted in shorter hospital stays due to faster recovery times after surgery. This is related, among other things, to increased precision when operating instruments, and thus reduced trauma to the tissues in the abdominal cavity compared to laparoscopic surgery. However, robotic surgery has certain limitations related to the availability of equipment in specific hospitals and, above all, the increased costs of surgery compared to the use of a laparoscope.

When analyzing the collected material on gallbladder surgery and possible treatment techniques for this pathology, it is not possible to clearly determine which treatment technique should be used as the gold standard in treating patients. However, it is important to remember that complications may occur in both cases, resulting in conversion to open surgery.

References

Shaffer, E. A. (2005). Epidemiology and risk factors for gallstone disease: Has the paradigm changed in the 21st century? Current Gastroenterology Reports, 7(2), 132–140. https://doi.org/10.1007/s11894-005-0051-8

Kimura, Y., Takada, T., Kawarada, Y., Nimura, Y., Hirata, K., Sekimoto, M., Yoshida, M., Mayumi, T., Wada, K., Miura, F., Yasuda, H., Yamashita, Y., Nagino, M., Hirota, M., Tanaka, A., Tsuyuguchi, T., Strasberg, S. M., & Gadacz, T. R. (2007). Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. Journal of Hepato-Biliary-Pancreatic Surgery, 14(1), 15–26. https://doi.org/10.1007/s00534-006-1152-y

Reynolds, B. M., & Dargan, E. L. (1959). Acute obstructive cholangitis: A distinct clinical syndrome. Annals of Surgery, 150(2), 299–303. https://doi.org/10.1097/00000658-195908000-00013

Kimura, Y., Takada, T., Strasberg, S. M., Pitt, H. A., Gouma, D. J., Garden, O. J., Büchler, M. W., Windsor, J. A., Mayumi, T., Yoshida, M., Miura, F., Higuchi, R., Gabata, T., Hata, J., Gomi, H., Dervenis, C., Lau, W. Y., Belli, G., Kim, M. H., Hilvano, S. C., & Yamashita, Y. (2013). TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences, 20(1), 8–23. https://doi.org/10.1007/s00534-012-0564-0

Yokoe, M., Takada, T., Strasberg, S. M., Solomkin, J. S., Mayumi, T., Gomi, H., Pitt, H. A., Gouma, D. J., Garden, O. J., Büchler, M. W., Kiriyama, S., Kimura, Y., Tsuyuguchi, T., Itoi, T., Yoshida, M., Miura, F., Yamashita, Y., Okamoto, K., Gabata, T., Hata, J., Higuchi, R., Windsor, J. A., Bornman, P. C., Fan, S. T., Singh, H., de Santibañes, E., Kusachi, S., Murata, A., Chen, X. P., Jagannath, P., Lee, S., Padbury, R., & Chen, M. F. (2012). New diagnostic criteria and severity assessment of acute cholecystitis in revised Tokyo Guidelines. Journal of Hepato-Biliary-Pancreatic Sciences, 19(5), 578–585. https://doi.org/10.1007/s00534-012-0548-0

Pisano, M., Allievi, N., Gurusamy, K., Borzellino, G., Cimbanassi, S., Boerna, D., Coccolini, F., Tufo, A., Di Martino, M., Leung, J., Sartelli, M., Ceresoli, M., Maier, R. V., Poiasina, E., De Angelis, N., Magnone, S., Fugazzola, P., Paolillo, C., Coimbra, R., Di Saverio, S., De Simone, B., Weber, D. G., Sakakushev, B. E., Lucianetti, A., Kirkpatrick, A. W., Fraga, G. P., Wani, I., Biffl, W. L., Chiara, O., Abu-Zidan, F., Moore, E. E., Leppäniemi, A., Kluger, Y., Catena, F., & Ansaloni, L. (2020). 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World Journal of Emergency Surgery, 15(1), Article 61. https://doi.org/10.1186/s13017-020-00336-x

Borzellino, G., Sauerland, S., Minicozzi, A. M., Verlato, G., Di Pietrantonj, C., de Manzoni, G., & Cordiano, C. (2008). Laparoscopic cholecystectomy for severe acute cholecystitis: A meta-analysis of results. Surgical Endoscopy, 22(1), 8–15. https://doi.org/10.1007/s00464-007-9511-6

Setty, S., Anusha, A., & R. S., J. (2025). Short-term clinical outcomes of robotic and laparoscopic cholecystectomy in Indian patients. Cureus, 17(9), e92120. https://doi.org/10.7759/cureus.92120

Kudsi, O. Y., Castellanos, A., Kaza, S., McCarty, J., Dickens, E., Martin, D., Tiesenga, F. M., Konstantinidis, K., Hirides, P., Mehendale, S., & Gonzalez, A. (2017). Cosmesis, patient satisfaction, and quality of life after da Vinci single-site cholecystectomy and multiport laparoscopic cholecystectomy: Short-term results from a prospective, multicenter, randomized, controlled trial. Surgical Endoscopy, 31(8), 3242–3250. https://doi.org/10.1007/s00464-016-5353-4

Lee, E. K., Park, E., Oh, W. O., & Shin, N. M. (2017). Comparison of the outcomes of robotic cholecystectomy and laparoscopic cholecystectomy. Annals of Surgical Treatment and Research, 93(1), 27–34. https://doi.org/10.4174/astr.2017.93.1.27

Lee, S. M., & Lim, J. H. (2021). Comparison of outcomes of single-incision robotic cholecystectomy and single-incision laparoscopic cholecystectomy. Annals of Hepato-Biliary-Pancreatic Surgery, 25(1), 78–83. https://doi.org/10.14701/ahbps.2021.25.1.78

Gantschnigg, A., Koch, O. O., Singhartinger, F., Tschann, P., Hitzl, W., Emmanuel, K., & Presl, J. (2023). Short-term outcomes and costs analysis of robotic-assisted versus laparoscopic cholecystectomy: A retrospective single-center analysis. Langenbeck’s Archives of Surgery, 408(1), Article 299. https://doi.org/10.1007/s00423-023-03037-6

Altieri, M. S., Yang, J., Telem, D. A., Zhu, J., Halbert, C., Talamini, M., & Pryor, A. D. (2016). Robotic approaches may offer benefit in colorectal procedures, more controversial in other areas: A review of 168,248 cases. Surgical Endoscopy, 30(3), 925–933. https://doi.org/10.1007/s00464-015-4327-2

Palep, J. H. (2009). Robotic assisted minimally invasive surgery. Journal of Minimal Access Surgery, 5(1), 1–7. https://doi.org/10.4103/0972-9941.51313

Kenngott, H. G., Fischer, L., Nickel, F., Rom, J., Rassweiler, J., & Müller-Stich, B. P. (2012). Status of robotic assistance—A less traumatic and more accurate minimally invasive surgery? Langenbeck’s Archives of Surgery, 397(3), 333–341. https://doi.org/10.1007/s00423-011-0859-7

Abou Assali, M., Li, Y., Bossie, H., Neighorn, C., Wu, E., & Mukherjee, K. (2025). Robotic Care Outcomes Project (ROBOCOP) for elective cholecystectomy. Surgical Endoscopy, 39(11), 7262–7271. https://doi.org/10.1007/s00464-025-12109-1

Talamini, M. A., Chapman, S., Horgan, S., & Academic Robotics Group. (2003). A prospective analysis of 211 robotic-assisted surgical procedures. Surgical Endoscopy, 17(10), 1521–1524. https://doi.org/10.1007/s00464-002-8853-3

Ayloo, S., Roh, Y., & Choudhury, N. (2014). Laparoscopic versus robot-assisted cholecystectomy: A retrospective cohort study. International Journal of Surgery, 12(10), 1077–1081. https://doi.org/10.1016/j.ijsu.2014.08.405

Huang, Y., Chua, T. C., Maddern, G. J., & Samra, J. S. (2017). Robotic cholecystectomy versus conventional laparoscopic cholecystectomy: A meta-analysis. Surgery, 161(3), 628–636. https://doi.org/10.1016/j.surg.2016.08.061

Han, C., Shan, X., Yao, L., Yan, P., Li, M., Hu, L., Tian, H., Jing, W., Du, B., Wang, L., Yang, K., & Guo, T. (2018). Robotic-assisted versus laparoscopic cholecystectomy for benign gallbladder diseases: A systematic review and meta-analysis. Surgical Endoscopy, 32(11), 4377–4392. https://doi.org/10.1007/s00464-018-6295-9

Hanly, E. J., & Talamini, M. A. (2004). Robotic abdominal surgery. American Journal of Surgery, 188(4 Suppl.), 19S–26S. https://doi.org/10.1016/j.amjsurg.2004.08.020

Ghanem, M., Shaheen, S., Blebea, J., Tuma, F., Zayout, M., Conti, N., Qudah, G., & Kamel, M. K. (2020). Robotic versus laparoscopic cholecystectomy: Case-control outcome analysis and surgical resident training implications. Cureus, 12(4), e7641. https://doi.org/10.7759/cureus.7641

Willuth, E., Hardon, S. F., Lang, F., Haney, C. M., Felinska, E. A., Kowalewski, K. F., Müller-Stich, B. P., Horeman, T., & Nickel, F. (2022). Robotic-assisted cholecystectomy is superior to laparoscopic cholecystectomy in the initial training for surgical novices in an ex vivo porcine model: A randomized crossover study. Surgical Endoscopy, 36(2), 1064–1079. https://doi.org/10.1007/s00464-021-08373-6

Mullens, C. L., Sheskey, S., Thumma, J. R., Dimick, J. B., Norton, E. C., & Sheetz, K. H. (2025). Patient complexity and bile duct injury after robotic-assisted vs laparoscopic cholecystectomy. JAMA Network Open, 8(3), e251705. https://doi.org/10.1001/jamanetworkopen.2025.1705

Published
2025-12-26
Citations
How to Cite
Mateusz Jasiński, Michał Szalach, Aleksandra Wilczyńska-Zgoda, Wojciech Suchodolski, Bartosz Burda, Małgorzata Kuczek, Aleksandra Marzec, Jakub Rusek, Błażej Madras, & Mikołaj Widz. (2025). COMPARISON OF LAPAROSCOPY AND ROBOTIC SURGERY IN CHOLECYSTITIS – LITERATURE REVIEW. International Journal of Innovative Technologies in Social Science, 2(4(48). https://doi.org/10.31435/ijitss.4(48).2025.4709

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