Prospective, randomized , multicenter study comparing cholecystectomy performed with da Vinci Single Site Instruments™ to multi-port (four ports) laparoscopy

Prospective, randomized , multicenter study comparing cholecystectomy performed with da Vinci Single Site Instruments™ to multi-port (four ports) laparoscopy.

• The primary objective of this study is to evaluate cosmesis, patient satisfaction and quality of life after robotic- assisted single incision cholecystectomy procedure using da Vinci Single- Site Instruments™ in comparison to a multiport laparoscopic approach.
• The secondary objective of this study is to assess the peri-operative clinical outcomes of robotic- assisted single incision cholecystectomy with da Vinci Single - Site Instruments™ in comparison to a multiport laparoscopic approach.
• The third objective of this study is to evaluate hernia incidence at 1 year and 18 months after surgery

Inclusion Criteria:

• Patient between ages of 18- 80 year
• Patient with symptomatic gallbladder disease
• Patient willing to participate in this study and able to provide informed consent

Exclusion Criteria:

• Patient pregnancy
• Emergency patient
• Patient with acute cholecystitis
• Patient with upper midline visible abdominal scars or keloid
• Presence of umbilical hernia , or prior umbilical hernia repair
• Inability of patients to tolerate Trendelenberg position or pneumoperitoneum
• Patient with cirrhosis
• Patients with mental impairment that preclude giving informed consent