Solo single-incision laparoscopic cholecystectomy: a safe substitute for conventional laparoscopic cholecystectomy
DC Field | Value | Language |
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dc.contributor.author | Suh, Suk-Won | - |
dc.contributor.author | Choi, Young Rok | - |
dc.contributor.author | Han, Ho-Seong | - |
dc.contributor.author | Yoon, Yoo-Seok | - |
dc.contributor.author | Cho, Jai Young | - |
dc.contributor.author | Choi, Yoo-Shin | - |
dc.contributor.author | Lee, Seung-Eun | - |
dc.contributor.author | Jeong, Jaehong | - |
dc.date.available | 2019-08-13T05:56:51Z | - |
dc.date.issued | 2019-07 | - |
dc.identifier.issn | 1445-1433 | - |
dc.identifier.issn | 1445-2197 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/33075 | - |
dc.description.abstract | Background: Despite the incremental application of single-incision laparoscopic cholecystectomy (SILC), this procedure has technical difficulties, including physical disturbance and an unstable surgical view through the small incision; therefore, we introduce the solo SILC (S-SILC) technique using a laparoscopic scope holder, as a simple, fixed and easy-to-perform procedure for an unassisted surgeon. Methods: We performed a comparative analysis of S-SILC (n = 566) and conventional three-incision laparoscopic cholecystectomy (n = 874) performed from January 2013 to December 2016 at multiple centres. Results: There was no significant difference of operative time between the two groups (P = 0.176); however, S-SILC showed a higher incidence of intraoperative gallbladder perforation, especially in the initial period (17.0% versus 2.3%, P < 0.001); and shorter post-operative hospital stay (3.3 ± 1.7 versus 1.9 ± 2.7 days, P < 0.001) than conventional three-incision laparoscopic cholecystectomy. There were no significant differences in major post-operative complications between the two groups (P = 0.909) and operation type (P = 0.971) was not a significant risk factor for major post-operative complications in multivariate analysis. Conclusion: S-SILC is a feasible and safe procedure; however, careful selection of surgical candidates is necessary in the early period of the experience with this method. © 2019 Royal Australasian College of Surgeons | - |
dc.format.extent | 5 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Blackwell Publishing | - |
dc.title | Solo single-incision laparoscopic cholecystectomy: a safe substitute for conventional laparoscopic cholecystectomy | - |
dc.type | Article | - |
dc.identifier.doi | 10.1111/ans.15347 | - |
dc.identifier.bibliographicCitation | ANZ Journal of Surgery, v.89, no.7, pp 900 - 904 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000477257800001 | - |
dc.identifier.scopusid | 2-s2.0-85068791738 | - |
dc.citation.endPage | 904 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 900 | - |
dc.citation.title | ANZ Journal of Surgery | - |
dc.citation.volume | 89 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | laparoscopic scope holder | - |
dc.subject.keywordAuthor | single-incision laparoscopic cholecystectomy | - |
dc.subject.keywordAuthor | solo surgery | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | CAMERA | - |
dc.subject.keywordPlus | PORT | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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