{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:27:21Z","timestamp":1786739241274,"version":"build-2736575974"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n Background:<\/jats:title>\n Although single-incision robotic cholecystectomy (SIRC) overcomes various limitations of single-incision laparoscopic cholecystectomy (SILC), it is associated with high cost. In this study, we intended to investigate if SIRC is recommendable and advantageous to patients despite its high cost.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n We prospectively collected and analysed data of patients who had undergone either SILC (\n n<\/jats:italic>\n = 25) or SIRC (\n n<\/jats:italic>\n = 50) for benign gallbladder diseases, with identical inclusion criteria, between November 2017 and February 2019.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n SILC and SIRC showed similar operative outcomes in terms of intra- and post-operative complications and verbal numerical rating scale (VNRS) for pain. However, the SIRC group exhibited significantly longer operation time than the SILC group (83.2 \u00b1 32.6 vs. 66.4 \u00b1 32.8,\n P<\/jats:italic>\n = 0.002). The SIRC group also showed longer hospital stay (2.4 \u00b1 0.7 vs. 2.2 \u00b1 0.6,\n P<\/jats:italic>\n = 0.053). Although the SILC and SIRC groups showed no significant difference in VNRS, the SIRC group required a higher amount (126.0 \u00b1 88.8 mg vs. 87.5 \u00b1 79.7 mg,\n P<\/jats:italic>\n = 0.063) and frequency (3.0 \u00b1 2.1 vs. 2.0 \u00b1 1.8,\n P<\/jats:italic>\n = 0.033) of intravenous opioid analgesic administration. During surgery, the critical view of safety (CVS), the prerequisite for safe cholecystectomy, was identified in only 24% (\n n<\/jats:italic>\n = 6) of patients undergoing SILC and in 100% (\n n<\/jats:italic>\n = 50) of patients undergoing SIRC (\n P<\/jats:italic>\n < 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n We conclude that although SILC and SIRC have similar operative outcomes, SIRC is advantageous over SILC because of its potential to markedly enhance the safety of patients by proficiently acquiring CVS.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmas.jmas_274_19","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T14:50:19Z","timestamp":1601218219000},"page":"65-71","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Robotic surgery enables safe and comfortable single-incision 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