Our Summary

This research paper explores the usage of a new robotic system called the BORNS Simphoni for gallbladder removal surgeries (also known as cholecystectomies). The system utilizes a 3D visualization technology that allows for better control over surgical instruments and improves precision, reducing the chances of having to switch to an open surgical procedure and lowering the risk of bile leakage.

A phase 1 clinical trial was conducted to see how safe and effective the system is. The results showed that all surgeries were completed successfully without the need to switch to open procedures. There was also very little blood loss and patients reported low levels of pain after surgery.

The BORNS Simphoni system comes with some advanced features, like an open console design, flexible and non-flexible instruments, and built-in ultrasonic energy sources. The study suggests this robotic system can be a feasible and effective tool for gallbladder removal surgeries. However, more research with a bigger sample size is needed to confirm these findings and to understand if it’s cost-effective enough for wider use.

FAQs

  1. What are the technical advantages of robotic cholecystectomy using the BORNS Simphoni system?
  2. What were the outcomes of the phase 1 clinical trial of the BORNS Simphoni Robotic System for robotic cholecystectomy?
  3. What are the advanced features of the BORNS Simphoni system and how do they contribute to the effectiveness of robotic cholecystectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about cholecystectomy is to follow the post-operative instructions carefully, including taking prescribed pain medication, avoiding heavy lifting or strenuous activity, and gradually reintroducing solid foods into your diet. It is also important to attend follow-up appointments to monitor your recovery and address any concerns or complications that may arise.

Suitable For

Patients who are typically recommended for cholecystectomy include those with symptomatic gallstones, gallbladder inflammation (cholecystitis), gallbladder polyps, gallbladder cancer, or biliary dyskinesia. Additionally, patients who have had previous episodes of biliary colic, pancreatitis, or complications related to gallstones may also be candidates for cholecystectomy. Robotic cholecystectomy using systems like the BORNS Simphoni may be particularly beneficial for patients who have complex anatomy or who are at higher risk for complications with traditional laparoscopic surgery.

Timeline

Before cholecystectomy:

  1. Patient experiences symptoms of gallbladder disease such as abdominal pain, nausea, vomiting, and bloating.
  2. Patient undergoes diagnostic tests such as ultrasound or CT scan to confirm the presence of gallstones or other issues with the gallbladder.
  3. After consultation with a surgeon, patient decides to undergo cholecystectomy as a treatment option.

After cholecystectomy:

  1. Patient undergoes preoperative preparation, including fasting and stopping certain medications.
  2. Patient undergoes robotic cholecystectomy using the BORNS Simphoni system, which offers advanced features and benefits over traditional laparoscopic surgery.
  3. Surgery is successfully completed with minimal blood loss, low postoperative pain, and no conversions to open procedures.
  4. Patient is monitored in the hospital for a period of time before being discharged to recover at home.
  5. Patient may experience some discomfort and restrictions in diet and activity in the days following surgery.
  6. Patient follows up with their surgeon for postoperative care and monitoring to ensure proper healing and recovery.

What to Ask Your Doctor

  1. How does robotic cholecystectomy using the BORNS Simphoni system compare to conventional laparoscopic cholecystectomy in terms of outcomes and recovery time?
  2. What are the specific technical advantages of the BORNS Simphoni system compared to other robotic surgical systems?
  3. What is the risk of complications associated with robotic cholecystectomy using this system?
  4. How experienced is the surgical team in performing robotic cholecystectomy with the BORNS Simphoni system?
  5. What is the cost difference between robotic cholecystectomy with the BORNS Simphoni system compared to traditional laparoscopic cholecystectomy?
  6. How long is the typical recovery time after robotic cholecystectomy using this system?
  7. Are there any specific criteria or conditions that would make a patient ineligible for robotic cholecystectomy with the BORNS Simphoni system?
  8. What is the rate of conversion to open procedures during robotic cholecystectomy with this system?
  9. Are there any potential long-term benefits or risks associated with robotic cholecystectomy using the BORNS Simphoni system?
  10. How soon can I expect to return to normal activities after undergoing robotic cholecystectomy with this system?

Reference

Authors: Bindal V, Gupta S, Pandey D, Ahmed S. Journal: JSLS. 2024 Jul-Sep;28(3):e2024.00016. doi: 10.4293/JSLS.2024.00016. Epub 2025 Jan 2. PMID: 39749227