Safety of Robotic Cholecystectomy in Cirrhotic Patients

Document Type

Conference Proceeding

Publication Date

8-1-2025

Publication Title

Am J Transplant

Abstract

Purpose: Over the years there have been many studies that investigate the safety of laparoscopic cholecystectomy in patients who have cirrhosis. However, evidence on the safety and outcomes of robotic cholecystectomy in cirrhotic patients is limited. The goal of this study was to evaluate the post-operative complications for patients with cirrhosis who underwent robotic cholecystectomy. Methods: A database search was done for robotic cholecystectomies performed for any reason by our facility’s Transplant or Hepatobiliary surgeons between 2014 -2024. Patient demographic and operative variables were collected including: body mass index, etiology and grade of liver disease, surgery indications, and need for conversion to open surgery. The outcomes examined included: 30-day postoperative complications, re-admission to hospital, and overall 1-year patient survival. Complications were graded based on the Clavien-Dindo classification. The overall incidence of complications was calculated. Results: 146 patients were identified. Twenty of these patients were identified to have cirrhosis. The patients ranged in age from 41-75 (mean 59.8 years old), with an average BMI of 33.97kg/m2. Model of end stage disease (MELD) score ranged from 6-18 (mean 10.05). There were 14 patients who were Child-Pugh Class A and 6 who were Class B. Of these 20 cirrhotic patients, there were 2 who had postoperative complications requiring re-admission in the first 30 days postop. Both post-op complications were Clavien-Dindo grade 3. Incidence rate of complications after robotic cholecystectomy was 0.1 over 10 years. Conclusions: Based on this study with a small sample size, overall the incidence of complications after robotic cholecystectomy is low in patients who are Child-Pugh score B or less. More analysis is needed to evaluate incidence of complication in relation to grade and etiology of liver disease, surgical indications and laboratory data. More data is needed to compare outcomes of cirrhotics with non-cirrhotics after robotic cholecystectomy. CITATION INFORMATION: Smith B., Rajendran L., Nassar A. Safety of Robotic Cholecystectomy in Cirrhotic Patients AJT, Volume 25, Issue 8 Supplement 1 DISCLOSURES: B. Smith: None.

Volume

25

Issue

8

First Page

S481

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