Robotic-assisted cholecystectomy significantly reduces the need for unplanned procedures in complex gallbladder surgeries.

• Patients undergoing robotic cholecystectomy had a 4.24 odds ratio for fewer interventions compared to laparoscopic techniques (p = .02).
• Operating room costs are higher for robotics: $8,936 vs. $7,720 for laparoscopic in complex cases.

Robotic cholecystectomy maintains overall care costs similar to the laparoscopic approach for complex cases, indicating its potential to enhance patient outcomes without driving up expenses.