{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:55:44Z","timestamp":1793048144916,"version":"4.5.0"},"reference-count":38,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Surg"],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"\n Importance<\/jats:title>\n The use of robotic-assisted cholecystectomy in acute care surgery is increasing, but its safety and efficacy compared with laparoscopic cholecystectomy remain unclear.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To compare clinical outcomes and bile duct injury rates between robotic-assisted cholecystectomy and laparoscopic cholecystectomy in acute care surgery.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This was a retrospective cohort study using patient data from a commercial claims and encounter database from 2016 to 2021. Included in the study were adult patients undergoing robotic-assisted cholecystectomy or laparoscopic cholecystectomy in acute care surgery. Data were analyzed from January to October 2024.<\/jats:p>\n <\/jats:sec>\n \n Exposures<\/jats:title>\n Robotic-assisted or laparoscopic cholecystectomy in acute care surgery.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n The primary outcome was bile duct injury.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 844\u202f428 patients (mean [SD] age, 45.6 [12.5] years; 547\u202f665 female [64.9%]) were included in this analysis. After propensity score matching, robotic-assisted cholecystectomy (n\u2009=\u200935\u202f037) and laparoscopic cholecystectomy (n\u2009=\u200935\u202f037) had similar bile duct injury rates (0.37% [128 of 35\u202f037] vs 0.39% [138 of 35\u202f037]; odds ratio [OR], 0.93; 95% CI, 0.73-1.18;\n P<\/jats:italic>\n \u2009=\u2009.54). Robotic-assisted cholecystectomy had higher major postoperative complications (8.37% [2934 of 35\u202f037] vs 5.50% [1926 of 35\u202f037]; OR, 1.57; 95% CI, 1.48-1.67;\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001), more postoperative drain use (0.63% [219 of 35\u202f037] vs 0.48% [132 of 35\u202f037]; OR, 1.66; 95% CI, 1.34-2.07;\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001), and longer median (IQR) hospital length of stay (3 [2-4] days vs 2 [1-4] days;\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n In this large, propensity-matched cohort analysis of acute care surgery cholecystectomy, robotic-assisted and laparoscopic cholecystectomy had similar bile duct injury rates, but robotic-assisted cholecystectomy was associated with higher postoperative complications, longer hospital stays, and increased drain use. Further research is needed to optimize the use of robotic-assisted cholecystectomy for acute gallbladder disease. These findings suggest that, under current practice conditions, robotic-assisted cholecystectomy may not offer clear benefits compared with the standard, established laparoscopic cholecystectomy approach.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamasurg.2025.1291","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T11:31:00Z","timestamp":1747827060000},"page":"755","source":"Crossref","is-referenced-by-count":42,"title":["Clinical Outcomes of Laparoscopic vs Robotic-Assisted Cholecystectomy in Acute Care Surgery"],"prefix":"10.1001","volume":"160","author":[{"given":"Nathnael Abera","family":"Woldehana","sequence":"first","affiliation":[{"name":"Division of Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland"},{"name":"Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland"},{"name":"Department of Surgery, Myungsung Medical College, Addis Ababa, 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