Completion of single-incision laparoscopic cholecystectomy using the modified Konyang standard method

Autor: Ju Ik Moon, Min Ho Um, Dae Sung Yoon, Sang Eok Lee, Won Jun Choi, In Seok Choi, Seong Uk Kwon, In Eui Bae, Nak Song Sung, Seung Jae Rho, Sung Gon Kim, Seung Jae Lee
Rok vydání: 2021
Předmět:
Zdroj: Surgical Endoscopy. 36:4992-5001
ISSN: 1432-2218
0930-2794
DOI: 10.1007/s00464-021-08856-6
Popis: BACKGROUND To date, a surgical method for single-incision laparoscopic cholecystectomy (SILC) has not been standardized. Therefore, this study aimed to introduce a standardized surgical method for SILC, in addition to reporting our experience over 10 years. METHODS Patients who underwent SILC at a single institution between April 2010 and December 2019 were included in this study. We analyzed the patient demographics and surgical outcomes according to the surgical method used: phase 1 (Konyang standard method, KSM) comprising initial 3-channel SILC, phase 2 (modified KSM, mKSM) comprising 4-channel SILC with a snake retractor, and phase 3 (commercial mKSM, C-mKSM) using a commercial 4-channel port. RESULTS Of 1372 patients (mean age, 51.3 years; 781 [56.9%] women), 418 (30.5%) surgeries were performed for acute cholecystitis (AC), 33 (2.4%) were converted to multiport or open cholecystectomy, and 49 (3.6%) developed postoperative complications. The mean operation time (OT) and length of postoperative hospital stay (LOS) were 51.9 min and 2.6 days, respectively. Overall, 325 patients underwent SILC with the KSM, 660 with the mKSM, and 387 with the C-mKSM. In the C-mKSM group, the number of patients with AC was the lowest (26.8% vs. 38.2% vs. 20.4%, p
Databáze: OpenAIRE
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