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Journal of Zhejiang University SCIENCE B
ISSN 1673-1581(Print), 1862-1783(Online), Monthly
2011 Vol.12 No.10 P.862-866
Transumbilical single-port laparoscopic cholecystectomy using traditional laparoscopic instruments: a report of thirty-six cases
Abstract: Objective: To evaluate the feasibility and safety of the operation of transumbilical single-port laparoscopic cholecystectomy (TSPLC) by traditional laparoscopic instruments and summarize the initial experience. Methods: Sixty subjects with cholelithiasis were divided into two groups. One group (36 cases) underwent TSPLC and the control group (24 cases) underwent traditional three-port laparoscopic cholecystectomy (LC). Postoperative complications were observed and operation time, hospital days, visual analogue scale (VAS) after 6 and 24 h of operation, and subject satisfaction score were measured. Results: TSPLC and traditional LC were performed successfully in the two groups. The operation time in the TSPLC group was significantly longer than that in the control group. There was no statistically significant difference in hospital stay and VAS between the TSPLC and control groups. The subject satisfaction score in the TSPLC group was 91.2, significantly higher than that in the control group (P<0.01). All subjects recovered from the operation and no postoperative complication occurred during the period of two weeks after operation. Conclusions: TSPLC is a feasible and safe method for cholecystectomy, although it may be more time-consuming. However, it is welcomed by patients who are more concerned with cosmetic outcomes. Future studies are needed to confirm its disadvantages and contraindications.
Key words: Laparoscopic cholecystectomy, Single-incision laparoscopic cholecystectomy, Minimally invasive surgery, Traditional laparoscopic instruments
References:
[1]Boonstra, A.M., Schiphorst Preuper, H.R., Reneman, M.F., 2008. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int. J. Rehabil. Res., 31(2):165-169.
[2]Bucher, P., Pugin, F., Buchs, N., Ostermann, S., Charara, F., Morel, P., 2009. Single port access laparoscopic cholecystectomy (with video). World J. Surg., 33(5):1015-1019.
[3]Elazary, R., Khalaileh, A., Zamir, G., Har-Lev, M., Almogy, G., Rivkind, A.I., Mintz, Y., 2009. Single-trocar cholecystectomy using a flexible endoscope and articulating laparoscopic instruments: abridge to NOTES or the final form? Surg. Endosc., 23(5):969-972.
[4]Hirano, Y., Watanabe, T., Uchida, T., Yoshida, S., Tawaraya, K., Kato, H., Hosokawa, O., 2010. Single-incision laparoscopic cholecystectomy: single institution experience and literature review. World J. Gastroenterol., 16(2):270-274.
[5]Mouret, P., 1996. How I developed laparoscopic cholecystectomy. Ann. Acad. Med. Singapore, 25(5):744-747.
[6]Navarra, G., Pozza, E., Occhionorelli, S., Carcoforo, P., Donini, I., 1997. One-wound laparoscopic cholecystectomy. Br. J. Surg., 84(5):695.
[7]Pearl, J.P., Ponsky, J.L., 2008. Natural orifice translumenal endoscopic surgery: a critical review. J. Gastrointest. Surg., 12(7):1293-1300.
[8]Philipp, S.R., Miedema, B.W., Thaler, K., 2009. Single-incision laparoscopic cholecystectomy using conventional instruments: early experience in comparison with the gold standard. J. Am. Coll. Surg., 209(5):632-637.
[9]Podolsky, E.R., Rottman, S.J., Poblete, H., King, S.A., Curcillo, P.G., 2009. Single port access (SPA™) cholecystectomy: a completely transumbilical approach. J. Laparoendosc. Adv. Surg. Tech., 19(2):219-222.
[10]Ponsky, T.A., 2009. Single port laparoscopic cholecystectomy in adults and children: tools and techniques. J. Am. Coll. Surg., 209(5):e1-e6.
[11]Raman, J.D., Cadeddu, J.A., Rao, P., Rane, A., 2008. Single-incision laparoscopic surgery: initial urological experience and comparison with natural-orifice transluminal endoscopic surgery. BJU Int., 101(12):1493-1496.
[12]Rivas, H., Varela, E., Scott, D., 2010. Single-incision laparoscopic cholecystectomy: initial evaluation of a large series of patients. Surg. Endosc., 24(6):1403-1412.
[13]Romanelli, J.R., Mark, L., Omotosho, P.A., 2008. Single port laparoscopic cholecystectomy with the TriPort system: a case report. Surg. Innov., 15(3):223-228.
[14]Romanelli, J.R., Roshek, T.B.3rd, Lynn, D.C., Earle, D.B., 2010. Single-port laparoscopic cholecystectomy: initial experience. Surg. Endosc., 24(6):1374-1379.
[15]Snissarenko, E.P., Kima, G.H., Simental, A.A.Jr., Zwart, J.E., Ransbarger, D.M., Kim, P.D., 2009. Minimally invasive video-assisted thyroidectomy: a retrospective study over two years of experience. Otolaryngol. Head Neck Surg., 141(1):29-33.
[16]Tacchino, R., Greco, F., Matera, D., 2009. Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg. Endosc., 23(4):896-899.
[17]Tomlinson, J.S., Ko, C.Y., 2006. Patient satisfaction: an increasingly important measure of quality. Ann. Surg. Oncol., 13(6):764-765.
Open peer comments: Debate/Discuss/Question/Opinion
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DOI:
10.1631/jzus.B1000384
CLC number:
R657.4
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On-line Access:
2011-10-08
Received:
2010-11-05
Revision Accepted:
2011-03-08
Crosschecked:
2011-09-01
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