{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:07:17Z","timestamp":1779196037899,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2016,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>For cholecystectomy, multiport laparoscopy is the recommended surgical approach. Single-port laparoscopy (SPL) was introduced to reduce postoperative pain and provide better cosmetic results, but has technical disadvantages. Robotic SPL (RSPL) was developed to overcome these disadvantages. In this prospective study, we aim to describe intraoperative results and postoperative outcomes of RSPL cholecystectomies and evaluate technical aspects of the technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective database of all patients who underwent a RSPL cholecystectomy between January 2012 and December 2014 was analyzed. Intraoperative results and postoperative complications were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 27 patients underwent RSPL cholecystectomy. Median age was 59 (20\u201378) years and median body mass index was 25 (19\u201335) kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . The majority of patients had American Society of Anesthesiologists (ASA) II classification (67%) and 89% underwent surgery for cholecystolithiasis or cholecystitis. The median operating time was 81 (41\u2013115) minutes. Conversion to a multiport procedure occurred in 2; one due to insufficient length of the robotic instruments. In the second and third patients, conversion to an open procedure was necessary due to inadequate exposure caused by liver cirrhosis and purulent ascites, respectively. In seven procedures, spill occurred due to rupture of the gallbladder. Postoperative complications occurred in 4 patients, including 1 bleeding (no reintervention), 1 peritonitis, and 2 wound infections. After a median follow-up of 33 (10\u201344) months, 5 (19%) trocar-site hernias were seen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>RSPL cholecystectomy is feasible, however, encountered by technical challenges due to inadequate length of the nonwristed robotic instruments. A high incidence of gallbladder rupture and trocar-site hernias may limit its application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2016.0183","type":"journal-article","created":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T16:25:51Z","timestamp":1464971151000},"page":"857-861","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Robotic Single-Port Laparoscopic Cholecystectomy Is Safe but Faces Technical Challenges"],"prefix":"10.1177","volume":"26","author":[{"given":"Yoen T.K.","family":"van der Linden","sequence":"first","affiliation":[{"name":"University Medical Center Utrecht","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hylke J.F.","family":"Brenkman","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"van der Horst","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilhelmina M.U.","family":"van Grevenstein","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"van Hillegersberg","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelle P.","family":"Ruurda","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,11,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008318"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8937"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2014.01.009"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9003"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000365580"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1217-5"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.143"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3306-8"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2015.0431"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.23931"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-011-0310-7"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.02.053"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2014.00266"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1540"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v7.i8.145"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-012-0393-4"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2012.0129"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-012-0929-y"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.3109\/10929080309146099"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1159\/000091445"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2016.0183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:15:56Z","timestamp":1779192956000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2016.0183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,1]]},"references-count":21,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2016,11,1]]}},"alternative-id":["10.1089\/lap.2016.0183"],"URL":"https:\/\/doi.org\/10.1089\/lap.2016.0183","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,1]]}}}