scholarly journals Learning curve of transumbilical suture-suspension single-incision laparoscopic cholecystectomy

2013 ◽  
Vol 19 (29) ◽  
pp. 4786 ◽  
Author(s):  
Ming-Xin Pan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Learning Curve ◽  
Single Incision ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Suture Suspension

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.

Single-incision Laparoscopic Cholecystectomy Learning Curve Experience Seen in a Single Institution

2012 ◽  
Vol 22 (2) ◽  
pp. 114-117 ◽  
Author(s):  
Elyssa J. Feinberg ◽  
Emmanuel Agaba ◽  
Michelle L. Feinberg ◽  
Diego Camacho ◽  
Pratibha Vemulapalli
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Learning Curve ◽  
Single Incision ◽  
Single Institution ◽  
Single Incision Laparoscopic Cholecystectomy

scholarly journals SILC for SILC: Single Institution Learning Curve for Single-Incision Laparoscopic Cholecystectomy

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Chee Wei Tay ◽  
Liang Shen ◽  
Mikael Hartman ◽  
Shridhar Ganpathi Iyer ◽  
Krishnakumar Madhavan ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Learning Curve ◽  
Conversion Rate ◽  
Single Incision ◽  
Learning Experience ◽  
Operating Time ◽  
Team Work ◽  
Calot’S Triangle ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Cusum Analysis

Objectives. We report the single-incision laparoscopic cholecystectomy (SILC) learning experience of 2 hepatobiliary surgeons and the factors that could influence the learning curve of SILC.Methods. Patients who underwent SILC by Surgeons A and B were studied retrospectively. Operating time, conversion rate, reason for conversion, identity of first assistants, and their experience with previous laparoscopic cholecystectomy (LC) were analysed. CUSUM analysis is used to identify learning curve.Results. Hundred and nineteen SILC cases were performed by Surgeons A and B, respectively. Eight cases required additional port. In CUSUM analysis, most conversion occurred during the first 19 cases. Operating time was significantly lower (62.5 versus 90.6 min,P= 0.04) after the learning curve has been overcome. Operating time decreases as the experience increases, especially Surgeon B. Most conversions are due to adhesion at Calot’s triangle. Acute cholecystitis, patients’ BMI, and previous surgery do not seem to influence conversion rate. Mean operating times of cases assisted by first assistant with and without LC experience were 48 and 74 minutes, respectively (P= 0.004).Conclusion. Nineteen cases are needed to overcome the learning curve of SILC. Team work, assistant with CLC experience, and appropriate equipment and technique are the important factors in performing SILC.

scholarly journals Single Incision Laparoscopic Cholecystectomy by Using a 2 mm Atraumatic Grasper without Trocar

HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Kamil Gulpinar ◽  
Suleyman Ozdemir ◽  
S. Erpulat Ozis ◽  
Turgut Aydin ◽  
Atila Korkmaz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Abdominal Wall ◽  
Single Incision ◽  
Single Port ◽  
Operation Time ◽  
Scar Formation ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Skin Scar

Purpose. We present our experience in single incision laparoscopic cholecystectomy by using a grasper directly without using a trocar in five patients. Methods and Results. The technique involves the use of Karl Storz 27290F grasper in order to perform gallbladder retraction in single port cholecystectomy. The grasper was introduced directly into the skin through abdominal wall without using any trocar and used to mobilize gallbladder whenever needed during surgery without causing any perforation or leakage of the gallbladder. There were no intraoperative and postoperative complications in 5 patients with the advantages of shorter operation time and almost invisible postoperative skin scar formation. Conclusion. We claim that the use of this instrument in SILS surgery might be advantageous than the conventional placement of sutures for the gallbladder mobilization.

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
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