Single access cholecystectomy using standard laparoscopic instruments

被引：14

作者：

Cantore F. ^{[1
]}

Colombo E.M. ^{[1
]}

Di Giuseppe M. ^{[1
]}

Biondi A. ^{[2
]}

Rausei S. ^{[1
]}

Dionigi G. ^{[1
]}

Rovera F. ^{[1
]}

Boni L. ^{[1
]}

Dionigi R. ^{[1
]}

机构：

[1] Department of Surgical Sciences, University of Insubria, 21100 Varese

[2] Department of Surgery, University of Catania, Catania

来源：

Updates in Surgery | 2011年 / 63卷 / 1期

关键词：

Cholecystectomy; Conventional instruments; Laparoscopy; Single incision; Single port;

D O I：

10.1007/s13304-011-0046-y

中图分类号：

学科分类号：

摘要：

The aim of this study was to verify feasibility and safety of single incision laparoscopic cholecystectomy using conventional surgical instruments. Twenty patients underwent single incision laparoscopic cholecystectomy. Indications for cholecystectomy were symptomatic cholelithiasis. Operative time, postoperative length of stay, intraoperative and postoperative complications, postoperative pain (by visual analogue scale), and patient cosmetic satisfaction were considered. All 20 procedures were successfully concluded without additional skin incisions. The mean operative time was 69 ± 16 min with a trend toward a reduction in operating time with increasing surgical experience. Intraoperative bile leakages for gallbladder rupture were observed in only three cases. No postoperative complications were recorded. The median pain scale value was 3 and the median value of cosmetic satisfaction was 3. The mean postoperative length of stay was 1.3 ± 0.9 days. Single incision laparoscopic cholecystectomy with conventional surgical instruments is a feasible and safe procedure, but additional studies in larger series are needed to confirm our results. © 2011 Springer-Verlag.

引用

页码：31 / 34

页数：3

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