A new technique for two-trocar laparoscopic cholecystectomy

Mori, Tadasu; Ikeda, Yōnosuke; Okamoto, Kazuma; Sakata, Kazuhito; Ideguchi, Kan; Nakagawa, Kunitoshi; Yasumitsu, Tsutomu

doi:10.1007/s00464-001-9090-x

Cited by 28 publications

(26 citation statements)

References 8 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 1995, surgeons from France successfully performed 715 laparoscopic cholecystectomies with three trocars [3], and in 1997, Navarra et al [4] performed a onewound laparoscopic cholecystectomy with transabdominal sutures. Then in 2001, 70 laparoscopic cholecystectomies were performed with two trocars [5].…”

mentioning

confidence: 99%

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

et al. 2010

View full text Add to dashboard Cite

Background An important aspect of a new surgical technique is whether it can be performed by other surgeons in other institutions. The authors report the first 297 cases in a multi-institutional and multinational review of laparoscopic cholecystectomy performed via a single portal of entry. Methods Data were collected retrospectively for the initial patients undergoing single-port cholecystectomy by 13 surgeons who performed these procedures in their institutions after training by the authors. The review included operative time, blood loss, incision length, length of hospital stay (LOS), necessary additional trocars, and other parameters important to cholecystectomy. A database of all the single-port-access (SPA) surgeries performed by the surgeons included demographic and procedural details, LOS, complications, and initial follow-up data. Results To date, 297 single-port cholecystectomies have been performed for a variety of diagnoses, primarily cholelithiasis. The average operative time was 71 min, and the average LOS was 1-2 days. The average blood loss was minimal. The use of additional port sites outside the umbilicus occurred in 34 of the cases. Of the 35 intraoperative cholangiograms performed, 34 were successful. No significant complications occurred except for seromas and minor postoperative wound infections. These results are comparable with those for standard multiport cholecystectomy. In addition, no access site hernias (ASH) occurred. SPATM is a Trademark

show abstract

mentioning

confidence: 99%

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Number one is the use of robotic for ease of use and precision of surgery [15,16]. Number two is the use of fewer trocars and the use of miniaturize instruments to reduce invasion to a minimum [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] and, number three, the recently reported single port approach [37][38][39]. Number one is not reproducible in every hospital situations, because of the problem of costs/benefit, while the second one seems to be applicable and feasible almost everywhere.…”

Section: Discussionmentioning

confidence: 99%

Is there still any role for minilaparoscopic-cholecystectomy? A general surgeons’ last five years experience over 932 cases

Agresta

Bedin

2011

Updates Surg

View full text Add to dashboard Cite

Laparoscopy has rapidly emerged as the preferred surgical approach in a number of different diseases because it ensures correct diagnoses and appropriate treatment. The use of mini-instruments (5 mm or less in diameter) and, when possible, the reduction of the number of trocars used might be its natural evolution. Laparoscopic cholecystectomy is a gold standard technique. The aim of the present work is to illustrate the results of the prospective experience of minilaparoscopic cholecystectomy (5 mm MLC) performed at our institution. Between August 2005 and July 2010 a total of 932 patients (mean age 45 years) underwent a laparoscopic cholecystectomy. Amongst them, 887 (95.1%) were operated on with a 5 mm-three trocar approach and in the remaining 45 cases (4.8%) a 3 mm trocar was used. The primary endpoint was the feasibility rate of the techniques. Secondary endpoints were safety and the impact of the techniques on duration of laparoscopy. In two cases conversion to laparotomy was necessary. We needed to add a fourth-5 mm trocar in the 10.7% of the cases (95 patients) in the 5 mm MLC. There were two cases of redo-laparoscopy in this group due to bile leakage from the cystic duct in one case, and to bleeding from the gallbladder bed in the other. Minor occurrence ranged as high as 2.1% in the 5 mm-MLC group, while it was nil in the 3 mm-MLC patients. The present experience shows that the 5 mm-three trocars MLC is a safe, easy, effective and reproducible approach to gallbladder diseases. Such features make the technique a challenging alternative to conventional laparoscopy both in the acute and the scheduled setting. We consider the 3 mm-MLC approach suitable only in selected cases, young and thin patients, due to the fragility of the smaller instruments.

show abstract

“…Port, or access site, reduction applies not only to ventral hernia repair. Many reports of reduced port techniques have been published [10][11][12]. After gradual, successful reduction of ports, we developed a technique using a single incision called Single Port Access (SPA TM ) surgery, to perform various laparoscopic procedures [13].…”

Section: Discussionmentioning

confidence: 99%

Single Port Access (SPA™) laparoscopic ventral hernia repair: initial report of 30 cases

Podolsky

Mouhlas

et al. 2010

Surg Endosc

View full text Add to dashboard Cite

show abstract

A new technique for two-trocar laparoscopic cholecystectomy

Abstract: Based on our experience, we think that this technique is as safe and effective as the classic four-trocar technique; moreover, it has a cost benefit.

Cited by 28 publications

References 8 publications

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

Is there still any role for minilaparoscopic-cholecystectomy? A general surgeons’ last five years experience over 932 cases

Single Port Access (SPA™) laparoscopic ventral hernia repair: initial report of 30 cases

Contact Info

Product

Resources

About