{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:45:35Z","timestamp":1791913535920,"version":"4.3.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"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":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoscopic cholecystectomy (LC) is the standard procedure for gallbladder disease. Robotic cholecystectomy (RC) has been increasingly adopted; its role within Acute Care Surgery (ACS) services remains undefined. We evaluated early outcomes following the adoption of RC by an ACS service at a Level I trauma center and compared perioperative outcomes with LC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study revealed all adult patients undergoing LC or RC, emergently or electively, by ACS surgeons at a verified Level I trauma center between January 2024 and 2025. Demographic characteristics, operative indications, body mass index (BMI), operative duration, conversion to open surgery, length of stay (LOS), complications, and 30-day readmission were collected. Categorical variables used Fisher\u2019s exact test and continuous variables utilized Welch\u2019s t-test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      416 cholecystectomies were performed, including 305 LC (73.3%) and 111 RC (26.7%). Mean patient age was 50.3 years and 33.4% were male, with no demographic differences between groups. Robotic cholecystectomy patients had a higher mean BMI (36.0 vs 32.1\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002). Operative duration, conversion to open surgery (4.1%), and overall complication rates (10.8%) were similar between LC and RC. Robotic cholecystectomy was associated with shorter LOS (3.02 vs 3.96 days;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.031) and lower 30-day readmission rate (4.5% vs 11.5%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.038).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Initial experience with RC by ACS surgeons demonstrated modest reduction in hospital LOS, lower 30-day readmission rates, comparable complication rates relative to LC, and preferential use among patients with higher BMI. Larger prospective studies need to further define RC\u2019s clinical outcomes and value-based implications in the ACS setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261493532","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T12:25:06Z","timestamp":1791721506000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Observations From the Adoption of Robotic Cholecystectomy by an Acute Care Surgery Service"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4464-3042","authenticated-orcid":false,"given":"Bethany O.","family":"Ekeh","sequence":"first","affiliation":[{"name":"Wright State University Boonshoft School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen B.","family":"Vinczi","sequence":"additional","affiliation":[{"name":"Wright State University Boonshoft School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee M.","family":"Wong","sequence":"additional","affiliation":[{"name":"Wright State University Boonshoft School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Cardosi","sequence":"additional","affiliation":[{"name":"Wright State University Boonshoft School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akpofure Peter","family":"Ekeh","sequence":"additional","affiliation":[{"name":"Wright State University Boonshoft School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199104183241601"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1992.01420080051008"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2023.01.017"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2024.08.006"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2024.0016"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09073-5"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.18911"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2025.109332"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2023.02.016"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.4389"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.1705"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2026.1585"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-01989-5"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.14701\/ahbps.24-192"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000004240"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-12109-1"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11266-z"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348241248816"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2024-001522"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02851-y"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000004851"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2025.1291"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2026.110170"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-026-03145-7"}],"container-title":["The 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