Single-incision Laparoscopic Cholecystectomy Using Glove Port in Comparison With Standard Laparoscopic Cholecystectomy SILC Using Glove Port

2012 ◽  
Vol 22 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Alireza Barband ◽  
Mohammad Bassir A. Fakhree ◽  
Farzad Kakaei ◽  
Amir Daryani
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Standard Laparoscopic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Glove Port

scholarly journals Comparative study of standard laparoscopic cholecystectomy and single incision laparoscopic cholecystectomy: outcome and complications

2019 ◽  
Vol 7 (11) ◽  
pp. 4310
Author(s):  
Kirti Savyasacchi Goyal ◽  
Maneshwar Singh Utaal ◽  
Pramod Kumar Bhatia
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Operative Time ◽  
Gall Bladder Disease ◽  
Single Incision ◽  
Intraoperative Complications ◽  
Single Incision Laparoscopic Surgery ◽  
Bladder Disease ◽  
Standard Laparoscopic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy

Background: Laparoscopic cholecystectomy (LC) has evolved to be as gold standard treatment for gall bladder disease and is the most common laparoscopic procedure performed worldwide. In recent times, the innovative techniques of Natural orifice Transluminal Endoscopic Surgery (NOTES) and Single Incision Laparoscopic Surgery (SILS) have been applied as a step forward towards scar less surgery with added benefits of less pain and less analgesic requirement, shorter hospital stay, quick return to work.Methods: A retrospective study of 50 patients admitted with gall bladder disease through outdoor for laparoscopic cholecystectomy from November 2018 to January 2019 in Maharishi Markandeshwar Institute of Medical Sciences and Research Mullana (AMBALA) were randomized into two groups of  25 each for Single Incision Laparoscopic Cholecystectomy (SILC) and standard laparoscopic cholecystectomy (LC) comparing the operative time, outcome and  complications.Results: 50 patients admitted to MMIMSR Mullana from November 2018 to January 2019 with gall bladder disease were divided into two groups of 25 each who underwent three port SILC and four port laparoscopic cholecystectomy (4PLC). The average intra-operative time in SILC (80.56 mins) was significantly more than standard laparoscopic cholecystectomy. The average length of stay in the hospital for SILC was 1.8 days (1-3 days), was significantly less than in standard four port laparoscopic cholecystectomy. Incidence of Intraoperative complications were more in SILC than standard LC.Conclusions: SILC as the newer novel technique had better outcomes in terms of cosmesis, early discharge, shorter stay at hospital.

Single-Incision Laparoscopic Cholecystectomy: A Combined Analysis of Resident and Attending Learning Curves at a Single Institution

2012 ◽  
Vol 78 (1) ◽  
pp. 119-124
Author(s):  
Mark Joseph ◽  
Michael Phillips ◽  
Christopher C. Rupp
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Learning Curve ◽  
Single Incision ◽  
Learning Curves ◽  
Patient Specific ◽  
Short Learning Curve ◽  
Significant Difference ◽  
Surgeon Experience ◽  
Standard Laparoscopic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy

Single-incision laparoscopic cholecystectomy (SILC) is a recent technical modification on standard laparoscopic cholecystectomy that has been shown to be safe and feasible. Recent studies suggest that experienced laparoscopic surgeons have a short learning curve to become proficient in SILC. However, little is known about the interaction of the learning curves of residents and attending surgeons at academic programs. We prospectively evaluated various metrics of both attending and resident surgeons as they progressed in their experience with SILC. Patients were placed into cohorts of 25 based on teaching surgeon experience. Data recorded included patient-specific and operative variables along with complications, conversion to standard laparoscopic cholecystectomy, and outcomes. One hundred one patients underwent SILC. Twelve per cent of patients required conversion to standard laparoscopic cholecystectomy. No significant difference was found in operative times compared within the experience-based cohorts ( P = 0.21). A reduction in operative time was shown in residents who were proficient in standard laparoscopic cholecystectomy (SLC) along their learning curve. Operative times remained the same for the teaching surgeon regardless of experience of resident surgeon. SILC has a short learning curve for resident surgeons who are proficient in standard laparoscopic surgery. SILC can be effectively taught with few complications and outcomes similar to SLC with preservation of operative efficiency and safety. Further studies are warranted, however, at a national/international level to define the place and use for SILC as well as the incorporation of single-incision techniques into resident curriculum.

Initial Experience with Single-Incision Laparoscopic Cholecystectomy

2010 ◽  
Vol 76 (7) ◽  
pp. 703-707 ◽  
Author(s):  
Aaron Carr ◽  
Avinash Bhavaraju ◽  
John Goza ◽  
Russell Wilson
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Open Cholecystectomy ◽  
Biliary Colic ◽  
Initial Experience ◽  
Low Profile ◽  
Female Predominance ◽  
Conversion To Open Cholecystectomy ◽  
Standard Laparoscopic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy

Single-incision laparoscopic surgical procedures are being developed with the goal of improving cosmesis, reducing postoperative pain, and increasing patient satisfaction. We performed this study to evaluate our initial experience with single-incision laparoscopic cholecystectomy. We used an infraumbilical incision with two upper low-profile 5-mm ports and one lower standard 5-mm port and either a standard 30° Storz laparoscope or an Olympus deflectable tip laparoscope. All patients were followed postoperatively to evaluate the feasibility and outcomes of the procedure. A total of 60 gallbladders were successfully removed by this method (95.2% success rate). Three cases were converted to standard laparoscopic cholecystectomy (4.8% conversion rate) with no conversion to open cholecystectomy. There were no major complications (bile duct injury, liver injury, bowel injury, biliary leak). Median operative time was 51 ± 21 minutes. Diagnoses included cholelithiasis (55%), biliary dyskinesia (32%), biliary colic (13%), and one case of gangrenous cholecystitis. Median patient age was 47 years with a strong female predominance (87%). Our initial experience demonstrates that single-incision laparoscopic cholecystectomy is effective and safe. We are confident that single-incision laparoscopic cholecystectomy is a viable alternative to standard laparoscopic cholecystectomy.

scholarly journals Result of single-incision laparoscopic cholecystectomy using Glove-Port for gallbladder stone at Viet Tiep University Hospital

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Văn Thương Phạm ◽  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bleeding Complication ◽  
Open Surgery ◽  
Single Incision ◽  
University Hospital ◽  
Gallbladder Stone ◽  
Post Operative Pain ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Glove Port ◽  
Surgical Duration

Tóm tắt Đặt vấn đề: Đánh giá kết quả phẫu thuật nội soi (PTNS) một lỗ cắt túi mật (TM) sử dụng cổng găng tay điều trị sỏi TM tại Bệnh viện Hữu nghị Việt Tiệp. Phương pháp nghiên cứu: Nghiên cứu tiến cứu 20 người bệnh (NB) sỏi TM được PTNS một lỗ cắt TM từ tháng 10/2018 đến tháng 4/2019. Kết quả: Chỉ định: 19 NB sỏi TM đơn thuần, 1 NB viêm TM cấp. Tất cả NB được PTNS một lỗ thành công, không phải thêm trocar hay chuyển mổ mở. Thời gian phẫu thuật 63,7 ± 26,6 phút. 1 trường hợp tai biến chảy máu giường TM. Đau sau mổ 1,13 ngày, nằm viện sau mổ 5,7 ngày. Không có biến chứng sớm. Kết luận: PTNS một lỗ cắt TM sử dụng cổng găng tay là phương pháp khả thi, an toàn điều trị sỏi TM. Abstract Introduction: Evaluating the outcomes of Single-incision laparoscopic cholecystectomy (SILC) by using glove-port for gallbladder stone at Viet Tiep Hospital. Materials and Methods: Prospective cohort in 20 cases were treated by SILC from 10/2018 to 4/2019. Results: 19 patients with uncomplicated gallbladder stone, one patient with acute cholecystitis were enrolled. SILC was applied successfully in all patients, no more trocars required or convert to open surgery. Surgical duration was 63,7 ± 26,6 min. One bleeding complication from gallbladder bed occurred during the operation. The average of post-operative pain was 1,13 days and hospital lenght stay was 5,7 days. No early complication was observed. Conclusion: SILC by using glove-port is feasible, safe for gallbladder stone. Keywords: Single-incision laparoscopic cholecystectomy, Glove-Port

Single Incision Laparoscopic Cholecystectomy Using a “Two-Port” Technique Is Safe and Feasible: Experience in 101 Consecutive Patients

2011 ◽  
Vol 77 (7) ◽  
pp. 916-921 ◽  
Author(s):  
Christopher C. Rupp ◽  
Timothy M. Farrell ◽  
Anthony A. Meyer
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Single Incision ◽  
Invasive Technique ◽  
Short Term ◽  
Critical View Of Safety ◽  
Bile Duct Injuries ◽  
Selective Basis ◽  
Standard Laparoscopic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy

Single incision laparoscopic cholecystectomy (SILC) is a new minimally-invasive technique that has recently been developed to address several disease processes of the gallbladder. However, the safety and feasibility of this technique are still being evaluated. Utilizing a “two-port” technique with transabdominal suture retraction and a rigorous adherence to the critical view of safety, we evaluated our experience in a prospectively maintained database and compared this with standard laparoscopic cholecystectomy (SLC) over the same period. SILC was completed successfully in 87 per cent of patients. Operative times were found to be similar between SLC and SILC (75 and 76 minutes, respectively; P = 0.12). Operative blood loss, hospital stay, and short-term complications were not statistically different between SILC and SLC. Cholangiograms, obtained on a selective basis, were performed in 19 per cent of SILCs. No bile duct injuries occurred during SILC or SLC. Although our aggregate number is not enough to accurately assess the rate or safety of bile duct injuries, SILC seems to be safe and feasible when evaluating other metrics and does not seem to interfere with operative efficiency compared with SLC.

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