Solo single-incision laparoscopic cholecystectomy: a safe substitute for conventional laparoscopic cholecystectomy
- Authors
- Suh, Suk-Won; Choi, Young Rok; Han, Ho-Seong; Yoon, Yoo-Seok; Cho, Jai Young; Choi, Yoo-Shin; Lee, Seung-Eun; Jeong, Jaehong
- Issue Date
- Jul-2019
- Publisher
- Blackwell Publishing
- Keywords
- laparoscopic scope holder; single-incision laparoscopic cholecystectomy; solo surgery
- Citation
- ANZ Journal of Surgery, v.89, no.7, pp 900 - 904
- Pages
- 5
- Journal Title
- ANZ Journal of Surgery
- Volume
- 89
- Number
- 7
- Start Page
- 900
- End Page
- 904
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/33075
- DOI
- 10.1111/ans.15347
- ISSN
- 1445-1433
1445-2197
- 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
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