A REVIEW ON RECENT ADVANCES IN CHOLECYSTECTOMY WITH EMPHASIS ON ROBOTIC SURGERY AND ITS PERCEPTION

Mohammed Aameruddin Khan Hashmi and Liu Zi Jun*

ABSTRACT

Cholelithiasis is one of the most common disorders of the digestive tract encountered by general surgeons worldwide. Conventional or open cholecystectomy was the mainstay of treatment for a long time for this disease. Advent of technology and evolving need for the medical care and effective management has laid the foundation for incorporating technology with traditional surgical approach. Recently developed SILS techniques and robotic surgery are promising but their benefits remain to be determined. However, evidence-based medicine has failed to show major advantages in single incision laparotomy surgery(SILS), and the disadvantage of robotic surgery is the high costs related to purchase and maintenance of technology. This has become a multidisciplinary subject for research and development. Emphasis has always been to develop less invasive surgical procedures and technological advancement has made this possible in the present era. Laparoscopic surgery has become well developed in recent decades and is the choice of treatment in abdominal surgery. It brought about a revolutionary change in the basic concepts of surgical principles and minimal access surgery gradually started to be acknowledged as a safe means of carrying out surgeries. In an attempt to reduce surgical incisions, surgical aggression with benefits to the patients and to achieve aesthetic results of these procedures, conventional surgeries have taken a setback in the long run. This article mainly focuses on the evolving trend in the surgical practice with technology of the most commonly performed surgery worldwide i.e. Cholecystectomy.

Keywords: Cholecystectomy; single port robotic surgery; SILS; recent advances; minimal access surgery; non invasive surgery; abdominal surgery.