Original Article

J Minim Invasive Surg 2013; 16(4): 81-86

Published online December 15, 2013

https://doi.org/10.7602/jmis.2013.16.4.81

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

단일통로 복강경 담낭절제술

배정훈ㆍ이수호ㆍ홍태호ㆍ이상권ㆍ유영경

가톨릭대학교 의과대학 외과학교실

Received: June 11, 2013; Revised: October 1, 2013; Accepted: October 2, 2013

Single-port Laparoscopic Cholecystectomy: Comparative Study of Consecutive Initial 206 Cases

Jung Hoon Bae, M.D., Soo Ho Lee, M.D., Tae Ho Hong, M.D., Sang Kuon Lee, M.D., Young Kyoung You, M.D.

Division of Liver Transplantation & HBP Surgery, Department of Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea

Received: June 11, 2013; Revised: October 1, 2013; Accepted: October 2, 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Laparoscopic cholecystectomy has been the stand-ard of care for gallbladder diseases since the late 1980s. Many surgeons have rapidly adopted single-port laparoscopic chol-ecystectomy for gallbladder pathologies. The aim of the cur-rent study was to analyze clinical outcome in initial single-port laparoscopic cholecystectomy. Methods: Analysis of data from 206 consecutive single-port laparoscopic cholecystectomies performed between May 2008 and Jun 2012 was conducted retrospectively. We divided the patients into four groups according to surgery period - period I (n=56), II (n=50), III (n=50), and IV (n=50), consecutively. During each procedure only one longitudinal transumbilical in-cision, 1.5 to 2.0 cm in length, was made in order to access the abdominal cavity. One of the various single-port trocars was used for the procedure. Standard laparoscopic instru-ments were used in performance of cholecystectomy. Results: Patients' demographics did not differ among the groups. Of the 14 cases that were converted to conventional laparoscopic surgery, seven were part of period I, one of II, five of III, and one of IV. Mean operation time for single-port laparoscopic cholecystectomy in each group was 71.6, 58.2, 69.1, and 53.3 minutes, in order. There were two operative complications in period I, which were managed successfully with laparoscopic surgery. No statistical difference in hospital stay was observed among the groups. Conclusion: Single-port laparoscopic cholecystectomy can be performed safely for various gallbladder lesions in selected cases, and the operation time improved with accumulation of cases.

Keywords Single-port, Laparoscopy, Cholecystectomy

Article

Original Article

J Minim Invasive Surg 2013; 16(4): 81-86

Published online December 15, 2013 https://doi.org/10.7602/jmis.2013.16.4.81

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

단일통로 복강경 담낭절제술

배정훈ㆍ이수호ㆍ홍태호ㆍ이상권ㆍ유영경

가톨릭대학교 의과대학 외과학교실

Received: June 11, 2013; Revised: October 1, 2013; Accepted: October 2, 2013

Single-port Laparoscopic Cholecystectomy: Comparative Study of Consecutive Initial 206 Cases

Jung Hoon Bae, M.D., Soo Ho Lee, M.D., Tae Ho Hong, M.D., Sang Kuon Lee, M.D., Young Kyoung You, M.D.

Division of Liver Transplantation & HBP Surgery, Department of Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea

Received: June 11, 2013; Revised: October 1, 2013; Accepted: October 2, 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Laparoscopic cholecystectomy has been the stand-ard of care for gallbladder diseases since the late 1980s. Many surgeons have rapidly adopted single-port laparoscopic chol-ecystectomy for gallbladder pathologies. The aim of the cur-rent study was to analyze clinical outcome in initial single-port laparoscopic cholecystectomy. Methods: Analysis of data from 206 consecutive single-port laparoscopic cholecystectomies performed between May 2008 and Jun 2012 was conducted retrospectively. We divided the patients into four groups according to surgery period - period I (n=56), II (n=50), III (n=50), and IV (n=50), consecutively. During each procedure only one longitudinal transumbilical in-cision, 1.5 to 2.0 cm in length, was made in order to access the abdominal cavity. One of the various single-port trocars was used for the procedure. Standard laparoscopic instru-ments were used in performance of cholecystectomy. Results: Patients' demographics did not differ among the groups. Of the 14 cases that were converted to conventional laparoscopic surgery, seven were part of period I, one of II, five of III, and one of IV. Mean operation time for single-port laparoscopic cholecystectomy in each group was 71.6, 58.2, 69.1, and 53.3 minutes, in order. There were two operative complications in period I, which were managed successfully with laparoscopic surgery. No statistical difference in hospital stay was observed among the groups. Conclusion: Single-port laparoscopic cholecystectomy can be performed safely for various gallbladder lesions in selected cases, and the operation time improved with accumulation of cases.

Keywords: Single-port, Laparoscopy, Cholecystectomy

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