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KMID : 0371420180940060291
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Annals of Surgical Treatment and Research
2018 Volume.94 No. 6 p.291 ~ p.297
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Single-incision laparoscopic cholecystectomy using instrumental alignment in robotic single-site cholecystectomy
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Jeong Sung-Yub
Lee Jin-Woo
Choi Sung-Hoon
Kwon Sung-Won
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Abstract
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Purpose: There is no standardized single-incision laparoscopic cholecystectomy (SILC) technique in contrast to robot single-site cholecystectomy (RSSC). We tried to implement the array of instruments used in RSSC to SILC.
Methods: A series of 108 consecutive patients underwent SILC between September 2014 and July 2017 by 2 surgeons. The indication was benign disease of the gallbladder. The perioperative outcomes were reviewed. We used the 4-channel Glove port and conventional laparoscopic instruments.
Results: The study subjects consisted of 29 males and 79 females, and the mean age was 44.4 years (range, 16?70 years). Mean body mass index was 24.1 kg/m2. The mean working time was 25.0 ± 10.7 minutes and total operation time was 44.4 ± 12.4 minutes. There were 7 cases of conversion (additional 1 port in 4 patients, additional 2 ports in 2, and conventional 4 port technique in 1). Bile spillage from the gallbladder during the procedure occurred in 17 (15.7%). There were no postoperative complications. Postoperative hospital stay was 2.0 ± 0.6 days.
Conclusion: The alignment of the instruments in a RSSC was successfully implemented into a SILC, so that an equally effective operation was possible.
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KEYWORD
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Cholecystectomy, Laparoscopy, Minimally invasive surgical procedures, Robotics
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