Objective: A laparoscopic cholecystectomy (LC) is the treatment of choice for gallbladder diseases. The aim of this study is to analyze laparoscopic cholecystectomies performed by a single surgeon over 8 years at (NMCTH).Methods: We performed a retrospective analysis of 7557 patients that underwent a LC by a single surgeon, from October 2010 to July 2018. We divided it into 3 groups that include data of every three years.Results: The hospital stay, operation time and conversion rates were decreased by years of experience. Female patients outnumbered male (M:F=1:3.7) patients in this study. The hospital stay (3 days), operation time (21 min), conversion (0.3%) and complications (1.9%) rates decreased from Group 1 to Group 3 (p<0.05).Conclusion: As surgical experience increased with a rising number of cases, the conversion rate, complications, hospital stay and mean operation time decreased.
Introduction: The major purpose of the Minimal Access Surgery is to reduce the number and size of scars, decrease pain and rate of infections, reduce complications, and improve cosmetic effect. In order to achieve scarless surgery there was a development of the Natural Orifice Transluminal Endoscopic Surgery (NOTS), which did not gain popularity and induced growing interest to single-incision laparoscopy as a modern technique with minimal visible scars. Objectives: The objective of this study is to correlate worldwide experience with outcomes of Single-Incision Laparoscopic Surgery (SILS) in our institute. Methodology: A retrospective analysis was done for 9141 patients who underwent Laparo-endoscopic single-site surgery between the year 2011-2020 years (AD). The type of surgery, gender, age, operative time, conversion and complication rate were reported. Results: Laparo-endoscopic single-site surgery was performed for 9141 patients, with a mean age of 46.3 years (range=2.5- 90). Out of 9141 patients included in this study, 8668 patients underwent Cholecystectomy, 232 underwent simultaneous, 161 appendectomy, 54 ovarian cystectomy, 11 underwent myomectomy, 8 diagnostic laparoscopy and 7 cases of salpingo-oophorectomy. The mean operating time was 19.5 minutes (range=4-35 min). In our study complicated cases were 0.996%, conversion done for 0.1% and mortality was 0.02%. Conclusion: The advantages of single access surgery include better cosmetic effect, reduced bleeding, infections, herniations and hospital stay.
Introduction: Laparoscopic Cholecystectomy is a standard operative procedure for patients with gallbladder diseases and is the most common laparoscopic procedure performed worldwide. The aim of this study is to analyze the different methods of laparoscopic cholecystectomies done by a single surgeon at Nobel Medical College Teaching Hospital. Objectives: The objective and aim of this study are comparing 4 port classic Laparoscopic Cholecystectomy (4PLC), 3 port (3PLC) and Laparo-Endoscopic Single-Site Cholecystectomy (LESC) performed by a single surgeon and correlate worldwide experience with outcomes in our institution. Methodology: The study includes retrospective analysis of 8192 patients who underwent elective laparoscopic Cholecystectomy (LC) from October 2010 to July 2020 performed by the single surgeon. All cases divided into 3 groups depending on the type of LC (4PLC, 3PLC, LESC). The data included the type of the surgery, gender, age, operative time, conversion and complication rate and duration of hospital stay. Results: The hospital stays, operation time and conversion rate decreased from group I to group III. Female patients out numbered the male ones (M:F=1:4). The hospital stays (3.4 days), operation time (35 min), conversion (0.4%) and complications (0.7%) rate decreased from Group of 4PLC to Group of LESC (1.5 days, 13 min, 0.1% conversion, 0.4% complication respectively) which is true for almost all other similar studies. Conclusion: The advantages of LESC include a better cosmetic effect and reduced chance of infections. It has been postulated to be superior in scarless surgery with added benefits of lower pain level and reduced need for analgesics, shorter hospital stays, quicker return to work and lower financial expenses.
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