Solo Three-incision Laparoscopic Cholecystectomy Using a Laparoscopic Scope Holder for Acute Cholecystitis.
10.7602/jmis.2016.19.4.141
- Author:
Soyeon CHOI
1
;
YoungRok CHOI
;
Ho Seong HAN
;
Yoo Seok YOON
;
Jai Young CHO
;
Seonguk KWON
;
Jae Seong JANG
;
Jangkyu CHOI
;
Sungho KIM
Author Information
1. Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. choiyoungrok@gmail.com
- Publication Type:Original Article
- Keywords:
Laparoscopic cholecystectomy;
Acute cholecystitis;
Solo surgery
- MeSH:
Abdominal Pain;
Cholecystectomy;
Cholecystectomy, Laparoscopic*;
Cholecystitis, Acute*;
Diarrhea;
Emergencies;
Food Habits;
Humans;
Length of Stay;
Retrospective Studies;
Wounds and Injuries
- From:Journal of Minimally Invasive Surgery
2016;19(4):141-147
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: L aparoscopic cholecystectomy (LC) i s a c ommonly p erformed procedure for t he management of acute cholecystitis. The presence of an inexperienced scopist or a shortage of manpower could be problematic in emergency surgical cases. To overcome these potential problems while ensuring a stable surgical view during LC, we performed solo surgery. METHODS: We retrospectively reviewed the results of 22 patients who underwent solo three-incision LC (S-TILC) and 31 patients who underwent the conventional three-incision LC (C-TILC) from March 1, 2015, to August 31, 2015. We compared the two groups with respect to the patients' clinical characteristics, and intraoperative and postoperative results; and severity grade as defined by the updated Tokyo guidelines 2013 (TG13) criteria. RESULTS: No significant differences in baseline characteristics were found between the two groups. The intraoperative perforation rates were higher in the C-TILC group than in the S-TILC group (p=0.016). Two cases were converted to human-assisted LC in the S-TILC group because of severe adhesions and the scope holder breaking down. No significant differences were found between the groups with respect to length of hospital stay; postoperative diet habit; or rates of post-cholecystectomy diarrhea, abdominal pain, wound complication, or complication according to the Clavien-Dindo grade. CONCLUSION: S-TILC and C-TILC were comparable in terms of results, and this solo surgery in LC could be performed for cases of acute cholecystitis during shortage of skilled manpower.
