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 ◽  

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

Author(s):  
Sanjay Kumar ◽  
Ashok Kaundal ◽  
Suneet Katoch

AIM: Comparative analysis of post-operative pain between Single Incision Laparoscopic Cholecystectomy and conventional Laparoscopic Cholecystectomy. Method: Patients suffering from symptomatic cholelithasis were randomly subjected to Single Incision Laparoscopic Cholecystectomy (SILC) and conventional four ports Laparoscopic Cholecystectomy (cLC). Data analyzed included duration of surgery, post-operative pain, For assessment of post-operative pain numeric pain scale scoring system was used and pain scoring done at four hours, twelve hours and twenty-four hours post-operatively. Results: The study included fifty patients operated upon from June, 2014 to May, 2014. Twenty-five patients were subjected to SILC and rest of the twenty-five underwent cLC. Pre-operative characteristics of two groups were similar and there was no significant difference between two groups based on age, sex and Body Mass Index. Post-operative pain score was higher for cLC compared to SILC at four, twelve and twenty-four hours post-operatively. The mean pain score at four hours was 4.64 ± 1.89 for SILC versus 7.72 ± 0.84 for cLC (p-value < 0.0001). While the score at twelve and twenty-four hours were 2.96 ± 1.88 and 1.80 ± 1.44 for SILC compared to 5.08 ± 1.15 and 3.80 ± 1.11 for cLC respectively. Conclusion: SILC is superior to cLC compared to post-operative pain as per our study. Keywords: SILC, cLC, post-operative pain


HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Kamil Gulpinar ◽  
Suleyman Ozdemir ◽  
S. Erpulat Ozis ◽  
Turgut Aydin ◽  
Atila Korkmaz

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.


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

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