지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.2
- 발행연도
- 2016.1
- 수록면
- 72 - 78 (7page)
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초록· 키워드
오류제보하기
Purpose: Single incision laparoscopic cholecystectomy (SILC) is generally performed with the use of inverse triangulation. In this study, we performed 3-channel or 4-channel SILC without the use of inverse triangulation. We evaluated the adequacy and feasibility of SILC using our surgical method.
Methods: We retrospectively reviewed our series of 309 SILCs performed between March 2014 and February 2015.
Results: Among 309 SILCs, male were 148 and female were 161 patients, mean age was 48.7 ± 15.3 years old and mean body mass index was 24.8 ± 3.8 kg/m2. Forty patients had previously undergone abdominal surgery including 6 cases of upper abdominal surgery. SILC after percutaneous transhepatic gallbladder (GB) drainage was completed in 8.7% of cases. There were 10 cases of emergency SILC. SILC was performed for noncomplicated GB including symptomatic GB stone and polyp in 66.7% of cases, acute cholecystitis in 33.3%. Overall, 96.8% of procedures were successfully completed without additional port. The reason for addition of an extra port or open conversion included technical difficulties due to severe adhesion and bleeding. The mean operating time was 60.7 ± 22.3 minutes. The overall complication rate was 4.8%: 9 patients of wound seroma, 1 case of bile leakage from GB bed, 4 cases of intra-abdominal abscess or fluid collection, and 1 case of incisional hernia were developed. There was no case of common bile duct injury.
Conclusion: Our surgical method of SILC without the use of inverse triangulation is safe, feasible and effective technique.
Methods: We retrospectively reviewed our series of 309 SILCs performed between March 2014 and February 2015.
Results: Among 309 SILCs, male were 148 and female were 161 patients, mean age was 48.7 ± 15.3 years old and mean body mass index was 24.8 ± 3.8 kg/m2. Forty patients had previously undergone abdominal surgery including 6 cases of upper abdominal surgery. SILC after percutaneous transhepatic gallbladder (GB) drainage was completed in 8.7% of cases. There were 10 cases of emergency SILC. SILC was performed for noncomplicated GB including symptomatic GB stone and polyp in 66.7% of cases, acute cholecystitis in 33.3%. Overall, 96.8% of procedures were successfully completed without additional port. The reason for addition of an extra port or open conversion included technical difficulties due to severe adhesion and bleeding. The mean operating time was 60.7 ± 22.3 minutes. The overall complication rate was 4.8%: 9 patients of wound seroma, 1 case of bile leakage from GB bed, 4 cases of intra-abdominal abscess or fluid collection, and 1 case of incisional hernia were developed. There was no case of common bile duct injury.
Conclusion: Our surgical method of SILC without the use of inverse triangulation is safe, feasible and effective technique.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
Mesas Burgos C, Ghaf farpour N, Almstrom M. Single-site incision laparoscopic cholecystectomy in children: a single-center initial experience. J Pediatr Surg 2011;46:2421-5.
Kaiser AM, Corman ML. History of laparoscopy. Surg Oncol Clin N Am 2001; 10:483-92.
Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. One-wound laparoscopic cholecystectomy. Br J Surg 1997; 84:695.
Meillat H, Birnbaum DJ, Fara R, Mancini J, Berdah S, Bege T. Do height and weight affect the feasibility of single-incision laparoscopic cholecystectomy? Surg Endosc 2015;29:3594-9.
Beninato T, Kleiman DA, Soni A, Nissan DA, Filicori F, Servais EL, et al. Expanding the indications for single-incision laparoscopic cholecystectomy to all patients with biliary disease: is it safe? Surg Laparosc Endosc Percutan Tech 2015; 25:10-4.
Kaiser AM, Corman ML. History of laparoscopy. Surg Oncol Clin N Am 2001; 10:483-92.
Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. One-wound laparoscopic cholecystectomy. Br J Surg 1997; 84:695.
Meillat H, Birnbaum DJ, Fara R, Mancini J, Berdah S, Bege T. Do height and weight affect the feasibility of single-incision laparoscopic cholecystectomy? Surg Endosc 2015;29:3594-9.
Beninato T, Kleiman DA, Soni A, Nissan DA, Filicori F, Servais EL, et al. Expanding the indications for single-incision laparoscopic cholecystectomy to all patients with biliary disease: is it safe? Surg Laparosc Endosc Percutan Tech 2015; 25:10-4.
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UCI(KEPA) : I410-ECN-0101-2016-514-002389775