Stabilization of Single-incision Laparoscopic Cholecystectomy by Needle Puncture and Bendable Retractor
| Autor: | Kodai Takahashi, Takashi Tanida, Eiji Kanehira, Kazunori Sasaki, Aya Kamei |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Operative Time Blood Loss Surgical Gallstones Punctures 03 medical and health sciences 0302 clinical medicine Blood loss Cholecystitis Humans Medicine Retrospective Studies Surgical approach business.industry Retrospective cohort study Equipment Design Needle puncture Length of Stay Middle Aged Surgical Instruments Surgery Single incision laparoscopic Retractor Treatment Outcome Cholecystectomy Laparoscopic Needles 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Cholecystectomy SILC business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 28:375-379 |
| ISSN: | 1530-4515 |
| Popis: | Background A recent meta-analysis and systematic review suggested that single-incision laparoscopic cholecystectomy (SILC) had a higher procedure failure rate with more blood loss and that it required a longer surgical time than conventional laparoscopic cholecystectomy. Herein, we introduce our experience with the needlescopic grasper-assisted and bendable retractor-assisted SILC technique and evaluate its safety and sustainability. Methods The present retrospective cohort study included 407 Japanese patients who underwent needlescopic grasper-assisted and bendable retractor-assisted SILC between January 2012 and April 2017 at our institution. Results In the present study, all patients successfully underwent needlescopic grasper-assisted and bendable retractor-assisted SILC without conversion to open surgery. Regarding surgical outcomes, mean surgical time was 58.2±23.2 minutes, and additional ports were required in 9 patients (2.2%). Postoperative morbidity developed in only 6 patients (1.4%). Conclusions The surgical approaches defined herein were safe and sustainable with favorable surgical outcomes. Compared with conventional SILC, needlescopic grasper-assisted and bendable retractor-assisted SILC might become a mainstream procedure for minimally invasive surgery from the viewpoint of surgical difficulty. |
| Databáze: | OpenAIRE |
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