Single-incision laparoscopic cholecystectomy using instrumental alignment in robotic single-site cholecystectomy.
10.4174/astr.2018.94.6.291
- Author:
Sung Yub JEONG
1
;
Jin Woo LEE
;
Sung Hoon CHOI
;
Sung Won KWON
Author Information
1. Division of Hepatobiliary and Pancreas, Department of Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. feel415@cha.ac.kr
- Publication Type:Original Article
- Keywords:
Cholecystectomy;
Laparoscopy;
Minimally invasive surgical procedures;
Robotics
- MeSH:
Bile;
Body Mass Index;
Cholecystectomy*;
Cholecystectomy, Laparoscopic*;
Female;
Gallbladder;
Humans;
Laparoscopy;
Length of Stay;
Male;
Minimally Invasive Surgical Procedures;
Postoperative Complications;
Robotics;
Surgeons
- From:Annals of Surgical Treatment and Research
2018;94(6):291-297
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: There is no standardized single-incision laparoscopic cholecystectomy (SILC) technique in contrast to robot single-site cholecystectomy (RSSC). We tried to implement the array of instruments used in RSSC to SILC. METHODS: A series of 108 consecutive patients underwent SILC between September 2014 and July 2017 by 2 surgeons. The indication was benign disease of the gallbladder. The perioperative outcomes were reviewed. We used the 4-channel Glove port and conventional laparoscopic instruments. RESULTS: The study subjects consisted of 29 males and 79 females, and the mean age was 44.4 years (range, 16–70 years). Mean body mass index was 24.1 kg/m2. The mean working time was 25.0 ± 10.7 minutes and total operation time was 44.4 ± 12.4 minutes. There were 7 cases of conversion (additional 1 port in 4 patients, additional 2 ports in 2, and conventional 4 port technique in 1). Bile spillage from the gallbladder during the procedure occurred in 17 (15.7%). There were no postoperative complications. Postoperative hospital stay was 2.0 ± 0.6 days. CONCLUSION: The alignment of the instruments in a RSSC was successfully implemented into a SILC, so that an equally effective operation was possible.
