|
KMID : 0371420140870020081
|
|
Annals of Surgical Treatment and Research
2014 Volume.87 No. 2 p.81 ~ p.86
|
|
|
Four-channel single incision laparoscopic cholecystectomy using a snake retractor: comparison between 3- and 4-channel SILC 4-channel single incision cholecystectomy
|
|
Sung Nak-Song
Choi In-Seok
Moon Ju-Ik
Ra Yu-Mi
Lee Sang-Eok
Choi Won-Jun
|
|
|
Abstract
|
|
|
Purpose: Single incision laparoscopic cholecystectomy (SILC) is a widely used method of performing cholecystectomy. A common technique used in SILC is a 3-channel method. However, exposure of Calot’s triangle is limited in conventional 3-channel SILC. Therefore, we herein report the adequacy and feasibility of 4-channel SILC using a snake retractor.
Methods: Four hundred and fifteen SILC cases were performed between April 2010 and February 2013. We performed 326 SILC cases between April 2010 and September 2012 using the 3-channel method. We introduced a snake retractor for liver traction in October 2012, and 89 cases of 4-channel SILC using snake retractor have been performed since.
Results: Thirty patients (9.2%) in the 3-channel SILC group, and 23 patients (25.8%) in the 4-channel SILC group, were treated with percutaneous transhepatic gallbladder drainage insertion because of acute inflammation of the gallbladder (GB) before operation (P < 0.001). The mean operating time was 53.0 ± 25.8 minutes in the 3-channel SILC group and 51.9 ± 18.6 minutes in the 4-channel SILC group (P = 0.709). In the 3-channel SILC group, mean hospital stay was 3.0 ± 3.3 days whereas it was 2.6 ± 0.9 days in the 4-channel SILC group (P = 0.043). There were a total 9 cases (2.1%) of additional port usages, 6 cases (1.8%) in the 3-channel SILC group and 3 cases (3.4%) in the 4-channel SILC group (P = 0.411), due to cystic artery bleeding and bile leakage from gallbladder bed, but there were no open conversions.
Conclusion: Benign diseases of the GB can be operated on using SILC with the 4-channel method using a snake retractor.
|
|
|
KEYWORD
|
|
|
Cholecystectomy, Laparoscopy, Single incision, 4-channel
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|