Highlights
Robotic cholecystectomy demonstrates equivalent outcomes to laparoscopic cholecystectomy across all grades of acute cholecystitis severity. No significant differences were observed in intraoperative complications, conversion rates, or postoperative outcomes between the two surgical approaches. The only notable difference was a marginally longer postoperative hospital stay in grade II-V patients treated laparoscopically, though this finding was not clinically significant when controlling for confounders.


