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Belli et al. Mini-invasive Surg 2020;4:77 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2020.70

Original Article Open Access

Robotic surgery of gallbladder cancer

Andrea Belli , Renato Patrone , Vittorio Albino , Maddalena Leongito , Mauro Piccirillo , Vincenza
1
2
1
1
1
Granata , Gilda Pasta , Raffaele Palaia , Francesco Izzo 1
1
3
4
1 Department of Abdominal Oncology, Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori, Fondazione G.
Pascale, IRCCS, Napoli 80131, Italy.
2 Department of Cardiothoracic Sciences, Division of General and Oncologic Surgery, University of Campania “Luigi Vanvitelli”,
School of Medicine, Naples 80131, Italy.
3 Division of Radiology, Istituto Nazionale Tumori, Fondazione G. Pascale, IRCCS, Napoli 80131, Italy.
4 Division of Anesthesia, Pain medicine and Supportive Care, Istituto Nazionale Tumori, Fondazione G. Pascale, IRCCS, Napoli
80131, Italy.
Correspondence to: Dr. Andrea Belli, Department of Abdominal Oncology, Division of Hepatobiliary Surgical Oncology, Istituto
Nazionale Tumori, IRCCS, Fondazione G. Pascale, Via Mariano Semmola, Napoli 80131, Italy. E-mail: a.belli@istitutotumori.na.it
How to cite this article: Belli A, Patrone R, Albino V, Leongito M, Piccirillo M, Granata V, Pasta G, Palaia R, Izzo F. Robotic surgery
of gallbladder cancer. Mini-invasive Surg 2020;4:77. http://dx.doi.org/10.20517/2574-1225.2020.70
Received: 6 Jul 2020 First Decision: 21 Aug 2020 Revised: 31 Aug 2020 Accepted: 14 Sep 2020 Published: 6 Nov 2020

Academic Editor: Giulio Belli Copy Editor: Cai-Hong Wang Production Editor: Jing Yu

Abstract
Aim: The aim of this study was to describe our technique for the surgical treatment of clinically suspected or
incidentally diagnosed gallbladder cancer (GBC) and to report the outcomes of our experience.

Methods: This is a retrospective observational study including consecutive patients operated by a robotic approach
for the surgical treatment of clinically suspected or incidentally diagnosed GBC (with the intent of radical re-
resection after index cholecystectomy) performed between January 2017 and December 2019. Clinical outcomes
and technical details related to the robotic approach were analyzed.

Results: During the study period, 8 patients underwent robotic radical cholecystectomy with lymphadenectomy
and atypical resection of segments IVb-V. No conversion or major complications occurred intraoperatively. All
patients underwent a radical resection. There were one Clavien-Dindo grade II and one grade IIIb complication.
Median hospital stay was 6 days (range 5-11). At a median follow-up of 17.5 months (range 29.3-7.3), all patients
are alive and free from disease except one who had peritoneal recurrence and underwent chemotherapy. No trocar
site recurrence was observed.

Conclusion: The present study describes a standardized step-by-step robotic technique for the surgical treatment
of GBC and demonstrates the feasibility and safety of the robotic approach. More data and multicentre series are

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
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