RoboS Cholecystectomy
Meaningful training
Training cases
Set of exercises to build confidence in robotic cholecystectomy across uncomplicated, inflamed, and high BMI cases, focusing on key steps such as hepatocystic triangle dissection, cystic pedicle control, and gallbladder resection; emphasizing safe dissection, anatomical orientation, complication management, and efficient exposure, access, and instrument handling in both solo and team-based settings.
Uncomplicated cholecystectomy
• Full case (solo & team training)
• Breakout cases (solo & team training)
Acute cholecystitis
• Full case (solo & team training)
Cholecystectomy in a high BMI patient
• Full case (solo & team training)
Learning objectives
- Apply appropriate force when retracting the fundus and infundibulum to expose Calot’s triangle
- Safely open the peritoneum
- Apply appropriate force of traction during dissection
- Correct use of hook and energy during dissection
- Obtain the critical view of safety
- Only two structures entering the gallbladder
- Lower third of gallbladder dissected of liver bed
- Hepatocystic triangle cleared
- Address accidental bleeding of the artery
- Avoid injuries to adjacent structures
- Apply appropriate force of retraction of the infundibulum for clipping and cutting of the cystic pedicle
- Apply clips with appropriate sequence, placement and spacing
- Safely divide the cystic duct and artery
- Apply appropriate force of retraction of the gallbladder to visualize the dissection plane
- Safely dissect the gallbladder off the liver bed
- Correct use of hook and energy during dissection
- Address accidental bleeding from the liver bed
- Avoid injuries to the gallbladder and the liver