Acute cholecystitis in the robotic era: comparative safety and feasibility of robotic and laparoscopic…

Cohort studyJournal of robotic surgery· Jun 2026

Acute cholecystitis in the robotic era: comparative safety and feasibility of robotic and laparoscopic cholecystectomy in an acute care surgery service.

Agustina A Pontecorvo, Jorge Cornejo, Tamar Tsenteradze … Enrique F Elli

Robotic & Minimally Invasive SurgeryCohort studyTreatmentQ1IF 4.0

Robotic cholecystectomy has complication rates similar to laparoscopic surgery for acute cholecystitis

Acute cholecystitis in the robotic era: comparative safety and feasibility of robotic and laparoscopic cholecystectomy in an acute care surgery service.

Agustina A Pontecorvo … Enrique F Elli

Journal of robotic surgery · Jun 2026 · Q1 in Surgery

Purpose

This study aimed to evaluate and compare perioperative outcomes of robotic versus laparoscopic cholecystectomy in patients with acute cholecystitis within an Acute Care Surgery setting.

Methods

Were stratified by operative approach (robotic vs. laparoscopic).

n = 322 patients

Results

robotic cholecystectomy had a similar early complication rate to laparoscopic

Robotic

10.3%

Laparoscopic

12.6%

More results

Baseline characteristics were similar between groups.

77.0 [60.0-95.0] minutes laparoscopic, p = 0.31).

Conversion to open surgery occurred in one laparoscopic case (0.5%) and none in the robotic group.

More results

Subgroup analysis of gangrenous cholecystitis showed no significant differences in operative time, length of stay, or postoperative outcomes.

“

Conclusion

Robotic cholecystectomy demonstrates comparable safety and efficacy to laparoscopic cholecystectomy for acute cholecystitis, including in severe cases, supporting its feasibility in acute care settings.

Acute cholecystitis in the robotic era: comparative safety and feasibility of robotic and laparoscopic cholecystectomy in an acute care surgery service.

Acute cholecystitis in the robotic era: comparative safety and feasibility of robotic and laparoscopic cholecystectomy in an acute care surgery service.

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