da Vinci® Single-Site® Surgery
If you have severe gallbladder symptoms, your doctor may recommend surgery to remove your gallbladder. It’s an organ you can live without. Gallbladder removal is known as a cholecystectomy. It can be performed using open surgery through a large incision or with minimally invasive surgery (laparoscopy).
With traditional laparoscopy and multi-port da Vinci Surgery, surgeons operate through a few small incisions. With single incision traditional laparoscopy and da Vinci Single-Site Surgery, your surgeon operates through one small incision in the navel (belly button).
Why da Vinci® Single-Site® Surgery?
The da Vinci System features a magnified 3D high-definition vision system coupled with flexible Single-Site instruments. These features enable your doctor to operate with enhanced vision and precision.
With da Vinci Single-Site Surgery, your gallbladder is removed through a single small incision in your belly button similar to traditional single-port laparoscopy. Patients who choose da Vinci Single-Site Surgery experience virtually scarless results.1
As a result of da Vinci technology, da Vinci Single-Site Cholecystectomy offers the following potential benefits:
- Low rate of major complications1
- Low conversion rate to open surgery1
- Virtually scarless results1
- High patient satisfaction2
- Minimal pain2
da Vinci Single-Site Cholecystectomy offers the following potential benefits, similar to single-incision laparoscopy:
- Low rate of major complications3,4
- Low blood loss4
- Low rate of wound infection3
- Short hospital stay3
- Virtually scarless surgery3
This procedure is performed using the da Vinci Surgical System – offering the latest in surgical and robotics technologies. The da Vinci System is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.
Risks & Considerations Related to Cholecystectomy:
Potential risks of a cholecystectomy procedure include:
- Injury to bile ducts, liver, pancreas
- Injury to small or large intestine
- Pancreatitis (inflammation of the pancreas)
In addition to the above risks, there are risks related to minimally invasive surgery, including da Vinci Single Site Cholecystectomy, such as multiple incisions, conversion to another surgical technique, urinary retention and hernia (bulging tissue) at the incision site.2,5
- To locate a da Vinci surgeon nearest you, use our surgeon locator.
- Pietrabissa A, Sbrana F, Morelli L, Badessi F, Pugliese L, Vinci A, Klersy C, Spinoglio G. Overcoming the challenges of single-incision cholecystectomy with robotic single-site technology. Arch Surg. 2012 Aug;147(8):709-14.
- Wren SM, Curet MJ. Single-port robotic cholecystectomy: results from a first human use clinical study of the new da Vinci single-site surgical platform. Arch Surg. 2011 Oct;146(10):1122-7. Epub 2011 Jun 20.
- Spinoglio G, Lenti LM, Maglione V, Lucido FS, Priora F, Bianchi PP, Grosso F, Quarati R. Single-site robotic cholecystectomy (SSRC) versus single-incision laparoscopic cholecystectomy (SILC): comparison of learning curves. First European experience. Surg Endosc. 2012 Jun;26(6):1648-55. doi: 10.1007/s00464-011-2087-1. Epub 2011 Dec 17.
- Buzad FA, Corne LM, Brown TC, Fagin RS, Hebert AE, Kaczmarek CA, Pack AN, Payne TN. Single-site robotic cholecystectomy: efficiency and cost analysis. Int J Med Robot. 2013 May 2. doi: 10.1002/rcs.1507. [Epub ahead of print]
- National Institutes of Health. Gallbladder Removal Surgery. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/002930.htm
da Vinci Surgery with Single-Site® Instruments and accessories is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are not candidates for minimally invasive surgery, including da Vinci Surgery with Single-Site® Instruments. The safety and effectiveness of this device for use in the performance of general laparoscopic abdominal surgery procedures have not been established.
All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures. Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions. If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary. Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.
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