Robotic Cholecystectomy Is a Safe Educational Alternative to Laparoscopic Cholecystectomy During General Surgical Training: A Pilot Study

2020 ◽  
Vol 77 (5) ◽  
pp. 1266-1270
Author(s):  
Joseph J. Eid ◽  
Apram Jyot ◽  
Francisco Igor Macedo ◽  
Mubashir Sabir ◽  
Vijay K. Mittal
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pilot Study ◽  
Surgical Training ◽  
Robotic Cholecystectomy

scholarly journals Single-incision robotic cholecystectomy versus single-incision laparoscopic cholecystectomy

Medicine ◽  
2018 ◽  
Vol 97 (36) ◽  
pp. e12103 ◽  
Author(s):  
Ning Sun ◽  
Jia Lin Zhang ◽  
Cheng Shuo Zhang ◽  
Xiao Hang Li ◽  
Yue Shi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Robotic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy

Short-term outcomes of single-site robotic cholecystectomy versus four-port laparoscopic cholecystectomy: a prospective, randomized, double-blind trial

2015 ◽  
Vol 30 (7) ◽  
pp. 3089-3097 ◽  
Author(s):  
Andrea Pietrabissa ◽  
Luigi Pugliese ◽  
Alessio Vinci ◽  
Andrea Peri ◽  
Francesco Paolo Tinozzi ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Site ◽  
Double Blind Trial ◽  
Short Term ◽  
Double Blind ◽  
Blind Trial ◽  
Robotic Cholecystectomy

Comparison of Two Simulation Systems to Support Robotic-Assisted Surgical Training: A Pilot Study (Swine Model)

2015 ◽  
Vol 22 (3) ◽  
pp. 483-488 ◽  
Author(s):  
Sabrina V. Whitehurst ◽  
Ernest G. Lockrow ◽  
Thomas S. Lendvay ◽  
Anthony M. Propst ◽  
Susan G. Dunlow ◽  
...  
Keyword(s):  
Pilot Study ◽  
Surgical Training ◽  
Swine Model ◽  
Robotic Assisted ◽  
Simulation Systems

Laparoscopic Cholecystectomy in Acute Cholecystitis: A Pilot Study

2017 ◽  
Vol 8 (2) ◽  
pp. 238
Author(s):  
Chandra Prakash ◽  
Sohan Pal Singh ◽  
Usha Singh ◽  
Atul Vats
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pilot Study ◽  
Acute Cholecystitis

scholarly journals P-BN28 The Consistency of Operative Safety Markers and the Critical View of Safety During Laparoscopic Cholecystectomy: A Pilot Study

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Ahmad H M Nassar ◽  
Mahmoud Sallam ◽  
Rhona Kilpatrick ◽  
Kiren Ali
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pilot Study ◽  
Bile Duct ◽  
Target Identification ◽  
Consensus Conference ◽  
Critical View ◽  
Critical View Of Safety ◽  
Video Recordings ◽  
True Value ◽  
Dissection Technique

Abstract Background Safe laparoscopic cholecystectomy(LC) depends on surgeon's experience, operative difficulty, utilisation of traditional safety markers, adapting the dissection technique and, where possible, displaying the critical view of safety (CVS) to confirm cystic pedicle structures prior to division. The Safe Cholecystectomy Multi-Society Practice Guidelines and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy identified no direct comparative evidence to support the CVS over other methods of anatomic identification. The aim of this study, therefore, was to examine the consistency of safety markers guiding the dissection and to determine the value of displaying the CVS. Methods A pilot study was conducted, reviewing video recordings of 241 LCs (144 retrospective and 97 prospective). The consistency of the Rouvier Sulcus (RS), the cystic lymph node (CLN), identification of the common bile duct (CBD) and duodenum and a new marker; the “cystic duct fold” (CDF), the peritoneal fold stretching between the retracted Hartman's Pouch and the CBD guiding the dissection at its distal end over the gallbladder neck, was documented. Data on the safety marker used to commence dissection, gallbladder condition, the LC difficulty grade, the selected technique and whether the CVS was achieved was recorded and analysed. Results Although the CBD and duodenum were visualised in 77%, the CDF was identifiable in 56% (CLN in 52.3%, RS in 50.2%) and the most consistently used to commence dissection in 51.4% (CLN 17.4%, CBD in 11.6% and RS in 6.6%). 12.8% required access to the infundibulum using sub-serosal or trans-vesical dissection (41% had acute cholecystitis, empyema or gangrenous gallbladders). Infundibular dissection was used in 88%. CVS was achievable in 56.8%. The CDF dropped form 87% in difficulty grades 1 and 2 to 16.5% in grades 4 and 5 with the CLN used in 21% of these difficult LCs. Conclusions A new safety marker, the CDF is proposed, being more reliable and safer on account of starting the dissection away from the CBD and potentially aberrant ducts, contrary to the line of RS. The CLN is more reliable in difficult LC, especially with acute inflammation. Infundibular dissection remains the default approach to “target identification” required to display the CVS. The true value of the CVS, as an end product of the process of dissection, lies in “target confirmation” before dividing any structures and in clearing the cystic plate to avoid injury to Couinaud Types C, F and hepato-cystic ducts.

Quality of Life after Laparoscopic Cholecystectomy for Biliary Dyskinesia in the Pediatric Population: A Pilot Study

2012 ◽  
Vol 78 (1) ◽  
pp. 111-118 ◽  
Author(s):  
Damian Maxwell ◽  
Stephanie Thompson ◽  
Bryan Richmond ◽  
Jillian McCagg ◽  
Adam Ubert
Keyword(s):  
Quality Of Life ◽  
Laparoscopic Cholecystectomy ◽  
Pilot Study ◽  
Pediatric Population ◽  
Symptom Relief ◽  
Well Being ◽  
Biliary Dyskinesia ◽  
Gallbladder Ejection Fraction

This pilot study examined symptom relief and quality of life in pediatric patients who received laparoscopic cholecystectomy surgery at our institution for biliary dyskinesia. We used two validated questionnaires: the Child Health Questionnaire (CHQ-PF28), to assess general well-being, and the Gastrointestinal Quality of Life Index (GIQLI), to measure gastrointestinal-related health. After Institutional Review Board approval, all patients under the age of 18 years who underwent laparoscopic cholecystectomy for biliary dyskinesia between November 2006 and May 2010 received mailed questionnaires. Preoperative and postoperative data were retrospectively collected from respondents and included age, race, symptoms, gallbladder ejection fraction values, pathologic findings, and clinical course. Of 89 patients meeting inclusion criteria, 21 responded. Mean age at surgery was 13.08 years (range, 8 to 17 years). The most common preoperative symptoms consisted of nausea (100%), postprandial pain (90.5%), right upper quadrant pain (81.0%), and vomiting (66.7%). Mean long-term follow-up interval was 18.9 months (range, 7 to 40 months; SD 10.37). Patients with long-term symptom relief reported significantly higher GIQLI scores than those with enduring symptoms. Examination of the results from the CHQ-PF28 revealed significantly lower scores than a general U.S. pediatric sample in both the Physical and Psychosocial Summary Measures ( P < 0.05). Children experiencing long-term symptom cessation after laparoscopic cholecystectomy reported higher quality of life than those who had incomplete or only short-term relief. However, regardless of the degree of symptom relief, the degree of quality of life experienced by our study sample of patients with biliary dyskinesia is lower than that of a comparable U.S. pediatric sample.

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