#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

SILS Cholecystectomy – Analysis of the First 100 Patients


Authors: A. Vrzgula;  V. Pribula;  R. Krajničák;  M. Múdry;  T. Vasilenko
Authors‘ workplace: III. chirurgická klinika SZÚ, Nemocnica Košice-Šaca a. s., 1. súkromná nemocnica, Slovenská republika prednosta: MUDr. Andrej Vrzgula, PhD.
Published in: Rozhl. Chir., 2011, roč. 90, č. 8, s. 440-445.
Category: Monothematic special - Original

Overview

Aim:
The purpose of the study is to evaluate the results of the group of patients underwent SILS cholecystectomy and compare them with the literature evidence.

Material and methods:
The retrospective analysis of the first 100 patients underwent cholecystectomy through single SILS port was performed. The operation was carried out with standard laparoscopic instruments. The average age, sex, BMI, mean operative time and the length of postoperative hospitalization were recorded.

Results:
The sex ratio was approximately 3:1 for women. The mean age in the group was 49 years, BMI 26.8 kg/m2, operative time 63 minutes and the length of postoperative hospitalization was 2.2 days. Two intraoperative complications were observed – cystis artery bleeding and leasion of common hepatic duct. Four patients required conversion to a conventional laparoscopic cholecystectomy and one to open procedure. Three wound complications during the postoperative period was observed.

Conclusion:
The results of analysis show the SILS cholecystectomy to be a good and comparable alternative to multiport cholecystectomy in the rate of complications, the length of hospitalization and postoperative recovery. The ideal candidates for the procedure are younger patients with lower BMI without the signs of acute inflammation. The further advantages, except excellent cosmetis result, is needed to confirm in randomized studies.

Key words:
SILS – cholecystectomy – laparoscopic surgery


Sources

1. Vecchio, R., MacFayden, B. V., Palazzo, F. History of laparoscopic surgery. Panminerva Med., 2000, 42, s. 87–90.

2. Curcillo II, P. G., Wu, A. S., Podolsky, E. R., Graybeal, C., Kathhouda, N., Saenz, A., Dunham, R., Fendley, S., Neff, M., Copper, Ch., Bessler, M., Gumbs, A. A., Norton, M., Ianelli, A., Mason, R., Moazzez, A., Cohen, L., Mouhlas, A., Poor, A. Single-port-access (SPA) cholecystectomy: a multi-institutional report of the first 297 cases. Surg. Endosc., 2010, 24, 1854–1860.

3. Purkayastha, S., Tilney, H. S., Georgiou, P., Athanasiou, T., Tekkis, P. P., Darzi, A. W. Laparoscopic cholecystectomy versus minilaparotomy cholecystectomy: a metaanalysis of randomised control trials. Surg. Endosc., 2007, 21, 1294–1300.

4. Slim, K., Pezet, D., Stencl, J. Jr., Lechner, C., Le Roux, S., Lointier, P., Chipponi, J. Laparoscopic cholecystectomy: an original three-trocar technique. World J. Surg., 1995, 394–397.

5. Mori, T., Ikeda, Y., Okamoto, K., Sakata, K., Ideguchi, K., Nakagawa, K., Yasumitsu, T. A new technique for two-trocar laparoscopic cholecystectomy. Surg. Endosc., 2002, 16, 589–591.

6. Marko, M., Trojčák, M., Hunák, P. NOTES cholecystektómie. Miniinvazívna chirurgia a endoskopia I / 2010, 22–28.

7. Navarra, G., Pozza, E., Occhionorelli, S., Carcoforo, P., Donini, I. One-wound laparoscopic cholecystectomy. Br. J. Surg., 1997, 84, 695.

8. Kallo, A. N., Singh, V. K., Jaganath, S. B., Niiyama, H., Hill, S. L., Vaughn, C. A., Magee, C. A., Kantsevov, S. V. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest. Endosc., 2004, 60, 114–117.

9. Scott, D. J., Tang, S. J., Fernandez, R., Bergs, R., Goova, M. T., Zeltser, I., Kehdy, F. J., Cadeddu, J. A. Completely transvaginal NOTES cholecystectomy using magnetically anchored instruments. Surg. Endosc., 2007, 21, 2308–2316.

10. Auyang, E. D., Hungness, E. S., Vaziri, K., Martin, J. A., Soper, N. J. Natural orifice translumenal endoscopic surgery (NOTES): dissection for the critical view of safety during transcolonic cholecystectomy. Surg. Endosc., 2009, 23, 1117–1118.

11. Hong, T. H., You, Y. K., Lee, K. H. Transumbilical single-port laparoscopic cholecystectomy: scarless cholecystectomy. Surg. Endosc., 2009, 23, 1393–1397.

12. Zhu, J. F., Hu, H., Ma, Y. Z., Xu, M. Z. Totally transumbilical endoscopic cholecystectomy without visible abdominal scar using improved instruments. Surg. Endosc., 2008, 23, 1781–1784.

13. Nguyen, N. T., Reavis, K. M., Hinojosa, M. W., Smith, B. R., Wilson, S. E. Laparoscopic transumbilical cholecystectomy without visible abdominal scars. J. Gastrointest. Surg., 2008, 16, 1125–1128.

14. Ersin, S., Firat, O., Sozbilen, M. Single-inicision laparoscopic cholecystectomy: is it more than a challenge? Surg. Endosc., 2010, 24, 68–71.

15. Merchant, A. M., Cook, M..W., White, B. C., Scott Davis, S., Sweeney, J. F., Lin, E. Transumbilical gelport access technique for performing single incision laparoscopic surgery (SILS). J. Gastrointest. Surg., 2009, 13, 159–162.

16. Erbella, J. Jr., Bunch, G. M. Single-incision laparoscopic cholecystectomy: the first 100 outpatients. Surg. Endosc., 2010, 24, 1958–1961.

17. Antoniou, S. A., Pointner, R., Granderath, F. A. Single-incision laparoscopic cholecystectomy: a systematic review. Surg. Endosc. 2011, 25, 367–377.

18. Martínek, L., Guňková, P., Guňka, I., Dostalík, J. Laparoskopická cholecystektomie metodou SILS – první zkušenosti. Miniinvazívna chirurgia a endoskopia II/2009, 4–6.

19. Edwards, Ch., Bradshaw, A., Ahearne, P., Dematos, P., Humble, T., Johnson, R., Mauterer, D., Soosaar, P. Single-incision laparoscopic cholecystectomy is feasible: initial experience with 80 cases. Surg. Endosc., 2010, 24, 2241–2247.

20. Solomon, D., Bell, R. L., Duffy, A. J., Roberts, K. E. Single-port cholecystectomy: small scar, short learning curve. Surg. Endosc., 2010, 24, 2954–2957.

21. Gibbs, K. E., Kaleya, R. S. Incidental gallbladder cancer and single-incision laparoscopic cholecystectomy. Surg. Endosc., 2009, 23, 1680.

22. Bucher, P., Pugin, F., Morel, P. Laparoendoscopic single-site cholecystectomy and occult gallbladder cancer. Surg. Endosc., 2010, 24, 1791–1792.

23. Ahmed, K., Wang, T. T., Patel, V. M., Nagpal, K., Clark, J., Ali, M., Deeba, S., Ashrafian, H., Darzi, A., Athanasiou, T., Paraskeva, P. The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Surg. Endosc., 2011, 25, 378–396.

24. Hernandez, J. M., Morton, C. A., Ross, S., Albrink, M., Rosemurgy, A. S. Laparoendoscopic single site cholecystectomy: the first 100 patients. Am. Surg., 2009, 75, 681–685.

25. Podolsky, E. R., Curcillo II, P. G. Reduced-port surgery: preservation of the critical view in single-port-access cholecystectomy. Surg. Endosc., 2010, 24, 3038–3043.

Labels
Surgery Orthopaedics Trauma surgery
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#