da Vinci Surgery
 

da Vinci® Single-Site® Surgery
(Gallbladder 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

  1. 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
  2. technology. Arch Surg. 2012 Aug;147(8):709-14.
  3. 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.
  4. 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.
  5. 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]
  6. 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 is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery, including da Vinci Surgery with Single-Site® Instruments. There may be an increased risk of incision-site hernia with single-incision surgery, including Single-Site surgery with da Vinci.

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.

Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.

Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.

© 2014 Intuitive Surgical. All rights reserved. All product names are trademarks or registered trademarks of their respective holders.

* Important Patient Safety Information.

da Vinci® Single-Site® Cholecystectomy

Treatment for Gallbladder Disease