Clinical Analysis of Single-Port Laparoscopic Cholecystectomies: Early Experience.
10.4174/jkss.2011.80.1.43
- Author:
Sun Choon SONG
1
;
Chuan Yu HO
;
Min Jung KIM
;
Woo Seok KIM
;
Dong Do YOU
;
Dong Wook CHOI
;
Seong Ho CHOI
;
Jin Seok HEO
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jinseok.heo@samsung.com
- Publication Type:Original Article
- Keywords:
Laparoscopic cholecystectomy;
Single-incision;
One-port surgery;
Minimally-invasive surgery
- MeSH:
Analgesics;
Analgesics, Opioid;
Bile;
Cholecystectomy, Laparoscopic;
Empyema;
Gallbladder;
Gallbladder Diseases;
Hemorrhage;
Humans;
Incidence;
Length of Stay;
Operative Time;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2011;80(1):43-50
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Single-port laparoscopic cholecystectomy (SPLC) is a technique under development in the field of minimally-invasive surgery. We have considered the feasibility of SPLC based on the advantages or restrictions compared with multi-port procedures. METHODS: Two hundred seventeen patients with benign gallbladder disease who underwent SPLC or multi-port laparoscopic cholecystectomy (MPLC) during the most recent 10 months were retrospectively reviewed. RESULTS: Patients were divided into two or three groups based on the operative period and disease. The mean age and ASA scale were different between the three groups. The intra-operative bile leakage and post-operative hospital stay were significantly less in the SPLC group; however, the blood loss and operative time was greater in the SPLC group. When patients with empyema of the gallbladder were excluded and all patients were reassigned into two groups based on the operative method, the incidence of bile leakage and post-operative hospital stay were similar between the two groups. The mean blood loss and operative time were higher in the patients who underwent SPLC. The mean numeric rating scale (NRS) and requirement for opioid analgesics were similar in the two groups. CONCLUSION: With the exception of increased intra-operative hemorrhage and a longer operative time, the risks associated with SPLC were not greater than MPLC. With adequate analgesics, advances in laparoscopic instruments, and surgical experience, SPLC is expected to gain acceptance amongst physicians.
