Single Incision Laparoscopic Cholecystectomy without a Camera Operator.
10.7602/jmis.2017.20.2.63
- Author:
YoungRok CHOI
1
;
Ho Seong HAN
;
Yoo Seok YOON
;
Jae Young CHO
;
Jae Yool JANG
;
Han Lim CHOI
;
Jae Seong JANG
;
Seong Uk KWON
;
Sungho KIM
;
Jangkyu CHOI
Author Information
1. Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. hanhs@snubh.org
- Publication Type:Original Article
- Keywords:
Laparoscopic cholecystectomy;
Surgical wound;
Minimally invasive surgical procedures
- MeSH:
Bile;
Cholecystectomy, Laparoscopic*;
Diarrhea;
Diet;
Gallbladder;
Humans;
Length of Stay;
Minimally Invasive Surgical Procedures;
Pneumoperitoneum;
Sample Size;
Shoulder Pain
- From:Journal of Minimally Invasive Surgery
2017;20(2):63-68
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to evaluate the implementation of solo surgery using a laparoscopic scope holder for single incision laparoscopic cholecystectomy (SILC). METHODS: With a glove port and a flexible high-definition scope, SILC was performed through a single trans-umbilical incisional site with CO2 pneumoperitoneum at a pressure of 12 mmHg. Fifty-eight patients who underwent solo SILC using a scope holder (Solo-SILC) were compared to 15 patients who underwent camera operator-assisted SILC (Ca-SILC) in terms of intraoperative and postoperative outcomes. RESULTS: The mean BMI and operation time were 23.0±3.6 kg/m² and 64.4±16.6 min in Ca-SILC and 25.0±3.8 kg/m² and 58.2±27.1 min in Solo-SILC, respectively (p=0.067 and p=0.410). Estimated blood loss was negligible and an additional assistant port was not required in either groups. A case of gallbladder perforation and bile leak was noted in the Ca-SILC group, and 13 cases of bile leak in the Solo-SILC group, with no significant differences (p=0.167) during the surgery. Postoperative outcomes including surgical complications, diet restriction, diarrhea and hospital stay were not significantly different except for shoulder pain (p<0.001). CONCLUSION: Even with the limitations of a small number of patients, Solo-SILC proved to be a feasible technique. To confirm the safety of solo-SILC, further studies with a larger sample size are required.
