{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T17:42:11Z","timestamp":1789666931589,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T00:00:00Z","timestamp":1606867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although laparoscopic cholecystectomy (LC) is the gold standard for symptomatic gallbladder disease, a single\u2010incision approach may be a new challenge in order to achieve minimization of surgical trauma. Single\u2010site robotic cholecystectomy (SSRC) is able to offset the ergonomic limitation of laparoscopic single\u2010site cholecystectomy and improves cosmesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present a single\u2010institution initial experience of SSRC for cholecystolithiasis. Intra\u2010operative and post\u2010operative data of patients were reviewed to assess the technical feasibility and cosmetic outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We evaluated a series of 27 consecutive patients retrospectively analyzed and prospectively collected who underwent SSRC. One patient was excluded from the final analysis because they converted to open procedure. The female\/male ratio was 17\/9, with mean age of 48\u2009\u00b1\u200912\u2009years. The body mass index mean value was 26.0\u2009\u00b1\u20094.2. The mean operative time was 99.6\u2009\u00b1\u200921.5\u00a0minutes. No intra\u2010 or post\u2010operative complications and readmissions were recorded. At 12\u2009months follow up, every patient received the Body Image Questionnaire (BIQ) and a Photo Series Questionnaire. We recorded three patients (11.5%) with post\u2010operative incisional hernia. Scores of the BIQ subscale for body image perception were 6\u2009\u00b1\u20091.2, while the scores of scar cosmesis were 21.1\u2009\u00b1\u20093.0. A statistically significant improvement in scar self\u2010rating from T0 to T1 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01) was found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our initial experience SSRC may be preferred to treat patients with higher needs in terms of cosmesis and body image perception. Lower costs for rent, maintenance and consumables may allow the spread of robotic surgery also for singe site cholecystectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12903","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:35:18Z","timestamp":1606955718000},"page":"496-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Outcome after single\u2010site robotic cholecystectomy: An initial single center's experience"],"prefix":"10.1111","volume":"14","author":[{"given":"Marco","family":"Ricciardiello","sequence":"first","affiliation":[{"name":"Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital G. D'Annunzio University  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Grottola","sequence":"additional","affiliation":[{"name":"Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital G. D'Annunzio University  Chieti Italy"},{"name":"Unit of General and Surgical Oncology, Casa di Cura Pierangeli University \u201cG. D'Annunzio\u201d Chieti\u2010Pescara  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Panaccio","sequence":"additional","affiliation":[{"name":"Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital G. D'Annunzio University  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludovica M","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital G. D'Annunzio University  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Montemitro","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and clinical sciences \u201cG. D'Annunzio\u201d University of Chieti\u2010Pescara  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felice","family":"Mucilli","sequence":"additional","affiliation":[{"name":"Department of Medical, Oral and Biotechnological Sciences and Unit of General and Thoracic Surgery, SS Annunziata Hospital \u201cG. D'Annunzio\u201d University of Chieti\u2010Pescara  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Ciavarella","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and clinical sciences \u201cG. D'Annunzio\u201d University of Chieti\u2010Pescara  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"di Sebastiano","sequence":"additional","affiliation":[{"name":"Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital G. D'Annunzio University  Chieti Italy"},{"name":"Unit of General and Surgical Oncology, Casa di Cura Pierangeli University \u201cG. D'Annunzio\u201d Chieti\u2010Pescara  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9877-2946","authenticated-orcid":false,"given":"Fabio Francesco","family":"di Mola","sequence":"additional","affiliation":[{"name":"Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital G. D'Annunzio University  Chieti Italy"},{"name":"Unit of General and Surgical Oncology, Casa di Cura Pierangeli University \u201cG. 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