This video takes you inside the operating room at World Laparoscopy Hospital, showcasing Next-Generation Gallbladder Surgery through a detailed, step-by-step robotic cholecystectomy. Watch this educational video to understand how advanced robotic technology enhances precision, safety, and faster recovery in gallbladder removal surgery.

In this surgical video, expert laparoscopic surgeons demonstrate patient positioning, port placement, robotic docking, critical view of safety, gallbladder dissection, and specimen retrieval. This video is ideal for surgeons, medical students, and healthcare professionals seeking in-depth knowledge of modern minimally invasive gallbladder surgery.

In the rapidly evolving world of minimally invasive surgery, robot-assisted gallbladder removal — known medically as robotic cholecystectomy — represents a leap forward in precision, safety and patient recovery. At World Laparoscopy Hospital, Gurugram, this cutting-edge technique is reshaping how surgeons approach gallbladder disease, particularly in complex or high-risk patients.

What Is Robotic Cholecystectomy?

Robotic cholecystectomy is a robot-assisted, minimally invasive procedure to remove the gallbladder — the small organ that stores bile and is commonly affected by gallstones or inflammation. Unlike traditional open surgery, robotic surgery uses tiny incisions and specialized instruments controlled by a surgeon via a console.

The robotic platform provides:

• 3D magnified visualization, significantly enhancing depth perception,

• Articulated instrument control with a greater range of motion than the human hand, and

• Stability and tremor reduction for delicate dissection around vital structures like bile ducts and blood vessels.
   

These advantages make it particularly suitable for gallbladder removal, especially in difficult or complicated cases.

Preparing for the Procedure

Before surgery, patients undergo a thorough clinical evaluation, including imaging (e.g., ultrasound or MRI) to assess gallbladder anatomy and detect stones or inflammation. General anesthesia is administered to ensure comfort and complete immobility. As with traditional laparoscopy, patients are usually asked to fast for several hours prior to the operation, and certain medications may be adjusted.

Step-by-Step: The Robotic Cholecystectomy Process

Here’s a typical sequence of a robotic gallbladder removal at World Laparoscopy Hospital, based on surgical protocols and practice guidelines used in advanced centers:

1. Patient Positioning and Port Placement

The patient lies supine (on their back) on the operating table. After skin preparation and sterile draping, a pneumoperitoneum (inflation of the abdominal cavity with carbon dioxide) is created to allow space for visualization and instrument movement. Small incisions are made for trocar ports — one for the camera and others for robotic instruments.

2. Docking the Robotic System

The robotic arms — typically part of a system like the da Vinci Surgical System — are docked to the trocars. The surgeon then moves to the console, controlling the instruments and 3D camera.

3. Exploration and Adhesiolysis

The surgeon begins a careful exploration of the abdominal cavity. Any adhesions (scar tissue from inflammation or previous surgeries) are gently dissected using the robotic instruments to expose the gallbladder and Calot’s triangle (the space containing the cystic duct and artery).

4. Dissection of Critical Structures

Under enhanced 3-D visualization, the surgeon identifies and isolates the cystic duct and artery, carefully dissecting and then ligating these structures to prevent bleeding or bile leakage. The robotic system’s precision is especially valuable here, as it minimizes the risk of injury to the common bile duct.

5. Gallbladder Removal

Once the duct and artery are secured, the gallbladder is detached from the liver bed and placed in an endoscopic retrieval bag for removal through one of the small incisions.

6. Inspection and Closure

Before concluding, the surgeon inspects the operative field for bleeding or bile leaks. Gas is released, instruments are withdrawn, and the tiny incisions are closed.

Benefits for Patients

Robotic cholecystectomy offers several well-documented advantages over traditional open or laparoscopic approaches:

• Smaller incisions and less tissue trauma, leading to reduced postoperative pain and scarring. 

• Enhanced precision with superior visualization, potentially lowering complication rates.

• Faster recovery and shorter hospital stays compared to open surgery.

• Ability to tackle complex anatomical situations more comfortably than conventional laparoscopy.

Patients typically return to normal activities more quickly, with many resuming light tasks within days.

Training and Innovation at World Laparoscopy Hospital

World Laparoscopy Hospital is at the forefront of teaching and performing advanced robotic procedures. In its dedicated robotic surgery program, surgeons are trained in a variety of complex procedures — including robotic cholecystectomy — using state-of-the-art technology and simulation tools.