{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:36:44Z","timestamp":1771933004022,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T00:00:00Z","timestamp":1483574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T00:00:00Z","timestamp":1483574400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to compare the outcomes of single\u2010site robotic cholecystectomy with multi\u2010port laparoscopic cholecystectomy within a high\u2010volume tertiary health care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of prospectively maintained data was conducted on patients undergoing single\u2010site robotic cholecystectomy or multi\u2010port laparoscopic cholecystectomy between October 2011 and July 2014. A single surgeon performed all the surgeries included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 678 cholecystectomies were performed. Of these, 415 (61%) were single\u2010site robotic cholecystectomies and 263 (39%) were multi\u2010port laparoscopic cholecystectomies. Laparoscopic patients had a greater mean BMI (30.5 vs. 29.0\u00a0kg\/m<jats:sup>2<\/jats:sup>; <jats:italic>p<\/jats:italic> = 0.008), were more likely to have undergone prior abdominal surgery (83.3 vs. 41.4%; <jats:italic>p<\/jats:italic> &lt; 0.001) and had a higher incidence of preexisting comorbidities (76.1 vs. 67.2%; <jats:italic>p<\/jats:italic> = 0.014) as compared to the robotic group. There was no statistical difference in the total operative time, rate of conversion to open procedure and mean length of follow\u2010up between the two groups. The mean length of hospital stay was shorter for patients within the robotic group (1.9 vs. 2.4\u00a0days; <jats:italic>p<\/jats:italic> = 0.012). Single\u2010site robotic cholecystectomy was associated with a higher rate of wound infection (3.9 vs. 1.1%; <jats:italic>p<\/jats:italic> = 0.037) and incisional hernia (6.5 vs. 1.9%; <jats:italic>p<\/jats:italic> = 0.006).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multi\u2010port laparoscopic cholecystectomy should remain the gold standard therapy for gallbladder disease. Single\u2010site robotic cholecystectomy is an effective alternative procedure for uncomplicated benign gallbladder disease in properly selected patients. This must be carefully balanced against a high rate of surgical site infection and incisional hernia, and patients should be informed of these risks.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3799-0","type":"journal-article","created":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T15:03:54Z","timestamp":1483628634000},"page":"1246-1253","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["A Comparative Study of Outcomes Between Single\u2010Site Robotic and Multi\u2010port Laparoscopic Cholecystectomy: An Experience from a Tertiary Care Center"],"prefix":"10.1002","volume":"41","author":[{"given":"Banujan","family":"Balachandran","sequence":"first","affiliation":[{"name":"Division of Colon and Rectal Surgery Advocate Lutheran General Hospital Park Ridge IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theadore 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