scholarly journals Author Correction: Single incision laparoscopic surgery using conventional laparoscopic instruments versus two-port laparoscopic surgery for adnexal lesions

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kuan‑Ju Huang ◽  
Kuan‑Ting Lin ◽  
Chin‑Jui Wu ◽  
Ying‑Xuan Li ◽  
Wen‑Chun Chang ◽  
...  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kuan-Ju Huang ◽  
Kuan-Ting Lin ◽  
Chin-Jui Wu ◽  
Ying-Xuan Li ◽  
Wen-Chun Chang ◽  
...  

AbstractSingle incision laparoscopic surgery (SILS) has emerged as least invasive interventions for gynecologic disease. However, SILS is slow to gain in popularity due to difficulties in triangulation and instrument crowding. Besides, the costly instruments may influence patients’ will to have this procedure, and limit other medical expense as well. To optimize outcome and reduce cost, the objective of this study is to evaluate the feasibility and safety for patients undergoing adnexal surgeries using conventional laparoscopic instruments with SILS (SILS-C), and to compare with those of patients subject to TP using conventional laparoscopic instruments (TP-C). This is a retrospective case–control study. The data dated from April 2011 to April 2018. Patients who received concomitant multiple surgeries, were diagnosed with suspected advanced stage ovarian malignancy, or required frozen sections for intraoperative pathologic diagnosis were excluded. Demographic data, including the age, body weight, height, previous abdominal surgery were obtained. The surgical outcomes were compared using conventional statistical methods. 259 patients received SILS-C. The operating time was 63.83 ± 25.31 min. Blood loss was 2.38 ± 6.09 c.c. 58 patients (24.38%) needed addition of port to complete surgery. 384 patients received TP-C. Compared with SILS-C, the operating time was shorter (57.32 ± 26.38 min, OR = 0.984, CI = 0.975–0.992). The patients were further divided into unilateral or bilateral adnexectomy, and unilateral or bilateral cystectomy. Other than the operating time in unilateral cystectomy (66.12 ± 19.5 vs. 58.27 ± 23.92 min, p = .002), no statistical differences were observed in the subgroup analysis. Single incision laparoscopic surgery using conventional laparoscopic instruments is feasible and safe as initial approach to adnexal lesions. In complex setting as unilateral cystectomy or pelvic adhesions, two-port access may be considered.


2010 ◽  
Vol 45 (12) ◽  
pp. 2381-2385 ◽  
Author(s):  
Yuk Him Tam ◽  
Kim Hung Lee ◽  
Jennifer Dart Yin Sihoe ◽  
Kin Wai Chan ◽  
Sing Tak Cheung ◽  
...  

2010 ◽  
Vol 49 (179) ◽  
Author(s):  
P B Thapa ◽  
DK Maharjan ◽  
DR Singh

INTRODUCTION: Use of laparoscopic surgery has demanded principles of less trauma of access hence less scar and so probably less complications. Hence conventional laparoscopic surgeries were tried with natural orifice transluminal surgery (NOTES) and then single incision laparoscopic surgery (SILS). With refinement in instruments and surgeons skills SILS have bridged up between conventional and NOTES in order to quench the desire of less or no scar at all. METHODS: Comparative case control study between conventional laparoscopic cholecystectomy and SILS in public teaching hospital. RESULTS: Total 20 patients underwent SILS cholecystectomy and 20 underwent conventional cholecystectomy and found that no difference between both in terms of post operative pain score, hospital stay and post operative wound infection except significant difference in mean operative time and patient's level of satisfaction was less in patient with SILC if were subjected to pay for instruments in order to maintain cosmesis. CONCLUSIONS: Though SILS have gained rapid acceptance in surgical fraternity, large number of randomized controlled trials are necessary to show its benefit over conventional laparoscopic cholecystectomy. Keywords: cholecystectomy, conventional, laparoscopy, single incision, surgery


2012 ◽  
Vol 94 (10) ◽  
pp. 348-350
Author(s):  
KS Johal ◽  
P Tsim ◽  
A Redfern ◽  
C Weeks ◽  
HM Park ◽  
...  

Single-Incision laparoscopic surgery (SILS) is a relatively novel technique that employs a single incision to gain access to the peritoneal cavity. Potential advantages over conventional laparoscopy include reduction of port site complications, reduced pain and improved cosmesis. Given that the incidence of surgical site complications in conventional laparoscopic surgery (infection 0.5%, incisional hernia 7.9%, haematoma 6.25%) are all correlated directly with the incisional site, a reduction in the number of incisions has been suggested as a means of improving post-operative morbidity from laparoscopic surgery.


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