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Rifai AO, Rembetski EM, Stutts LC, Mazurek ZD, Yeh JL, Rifai K, Bear RA, Maquiera AJ, Rydell DJ. Retrospective analysis of operative time and time to discharge for laparoscopic vs robotic approaches to appendectomy and cholecystectomy. J Robot Surg 2023; 17:2187-2193. [PMID: 37271758 PMCID: PMC10492745 DOI: 10.1007/s11701-023-01632-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 05/21/2023] [Indexed: 06/06/2023]
Abstract
Robotic-assisted appendectomies and cholecystectomies are believed to increase cost compared to the gold standard laparoscopic approach. Two equally qualified surgeons performed both approaches over 2 years to evaluate intraoperative duration, time to discharge, conversion to open procedure, and readmission within 30 days. 110 laparoscopic, 81 robotic-assisted appendectomies; and 105 laparoscopic and 165 robotic-assisted cholecystectomies were performed. Intraoperative time; laparoscopic appendectomy was 1.402 vs 1.3615 h for robotic-assisted (P value = 0.304); laparoscopic cholecystectomy was 1.692 vs 1.634 h for robotic-assisted (P value = 0.196). Time to discharge, was 38.26 for laparoscopic vs 28.349 h for robotic-assisted appendectomy (P value = 0.010), and 35.95 for laparoscopic vs 28.46 h for robotic-assisted cholecystectomy (P value = 0.002). Intraoperative conversion to open; only laparoscopic procedures were converted, one appendectomy and nine cholecystectomies. None in the robotic-assisted procedures. Readmissions, none in the appendectomy group and three in the cholecystectomy group. One laparoscopic and two robotic-assisted cholecystectomy patients were readmitted. Intraoperative times for robotic appendectomy and cholecystectomy were not longer than laparoscopic approach. Robotic approach shortened the time to discharge and the likelihood for conversion to open procedure.
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Affiliation(s)
- Ahmad Oussama Rifai
- The Education and Research Department, The Virtual Nephrologist, INC, PO Box 1750, Lynn Haven, FL, 32444-5950, USA.
| | - Emily M Rembetski
- ACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA
| | - Larry Collins Stutts
- ACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA
| | - Zachary D Mazurek
- ACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA
| | - Jenifer L Yeh
- ACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA
| | - Kareem Rifai
- ACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA
| | - Ryan A Bear
- ACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA
| | | | - David J Rydell
- Envision Physician Services, HCA Florida Gulf Coast Hospital, 449 west 23rd stree, Panama City, FL, 32405, USA
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