An Innovative New Method for Gallbladder Removal

Ramachandran, C.S.; Arora, Vijay K.

doi:10.1089/lap.1998.8.303

Cited by 45 publications

(41 citation statements)

References 8 publications

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“…Finally, multiple trocars overcome the deficit of experienced skill. (3)(4)(5) On the other hand, additional ports contribute to postoperative pain, diminish cosmesis and they increase the risks of bleeding, hernia formation and organ damage. The objective of this study was to investigate a surgeon's experience with SPLC and delineate the learning curve for this technically demanding procedure, using improvement in operating time as a proxy for technical skill.…”

Section: Introductionmentioning

confidence: 99%

The Learning Curve for Single-Port Laparoscopic Cholecystectomy by Experienced Laparoscopic Surgeon

et al. 2011

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Purpose: Single-port laparoscopic surgery is a rapidly advancing technique in laparoscopic surgery. However, there is currently limited evidence on the learning curve for this procedure. The aim of this study was to estimate the number of single port laparoscopic cholecystectomies required until improvement in the performance of the technique ceases. Methods: This is a descriptive, single-center study using routinely collected clinical data from 70 patients who underwent single port laparoscopic cholecystectomy between May 2009 and June 2010 at Dong-A University Medical Center in Busan, Korea. The review includes the mean operating time, conversion cases, intra-operative GB perforation, post-operative wound infection and mean hospital stay. Results: The mean operating time of the first 30 cases (the learning period) was 91.83 minutes. After 30 operations (the experience period), it plateaued to an average of 75.25 minutes, which remained steady in the next 40 operations -a reduction of more than 16%. Reduction in the operating time was significant (P＜0.001) between the learning period and the experience period. Other factors including additional ports, intraoperative gall bladder perforation, mean hospital stay, post-operative wound infection were not significantly different between the two periods. Conclusion:We suggest that the learning curve for single port laparoscopic cholecystectomy should be around thirty cases for a surgeon with prior conventional laparoscopic cholecystectomy experience and for self-taught single port technique. (J Korean Surg Soc 2011;80:119-124)

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Section: Introductionmentioning

confidence: 99%

The Learning Curve for Single-Port Laparoscopic Cholecystectomy by Experienced Laparoscopic Surgeon

et al. 2011

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“…Today, we stand on the brink of a technological explosion that may drive surgery from requiring small incisions to being incisionless. [1][2][3][4][5][6][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] To date, there has not been any randomized prospective controlled study comparing the single incision vs. two-vs. three-vs. fourport techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Ramachandran [24] performed two-trocar LC using two incisions and three transabdominal stay sutures. Navarra et al [6] performed the first SILS cholecystectomy in 1997 using two 10 mm trocars and three transabdominal stay sutures to aid in gallbladder retraction.…”

Section: Discussionmentioning

confidence: 99%

Is the number of trocars important in laparoscopic cholecystectomy?

Moran¹

2017

Laparosc Endosc Surg Sci

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Introduction: Laparoscopic cholecystectomy (LC) is the criterion standard for cholelithiasis. There have been some changes in LC technique, one of which was a reduction in the number of trocars used. The aim of the present study was to explore the feasibility of reducing the number of ports in cases of LC without compromising safety, and to evaluate the benefits associated in terms of pain, recovery, and patient satisfaction.

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“…Operative time varies with different studies as few require less and few more than the conventional technique. [10][11][12][13][14] The operative difficulty is based on the status of gallbladder, adhesions around the gallbladder fossa, Calot's triangle, and cystic duct anatomy. The conversion rates from two-port mini LC to four-port LC and open cholecystectomy in many studies are in the range of 23 to 38%.…”

Section: Two-port Mini Lcmentioning

confidence: 99%

Two-port Mini vs Conventional Four-port vs Singleincision Laparoscopic Cholecystectomy: An Update with Review of Literature

Tabrez¹,

Mishra²,

Chowhan³

2017

WJOLS

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Introduction: Laparoscopic cholecystectomy (LC) is the gold standard for the removal of gallbladder stones. In an attempt to reduce the invasiveness of the procedure, surgeons have done various modifications like reduction of port size and/or number, which is used in conventional LC. The main objective of this review is to compare the two-port mini LC with other techniques of LC like conventional four-port laparoscopic surgery or single-incision laparoscopic cholecystectomy (SILC) in elective laparoscopic cholecystectomy and determine the outcome of two-port mini LC.

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An Innovative New Method for Gallbladder Removal

Cited by 45 publications

References 8 publications

The Learning Curve for Single-Port Laparoscopic Cholecystectomy by Experienced Laparoscopic Surgeon

The Learning Curve for Single-Port Laparoscopic Cholecystectomy by Experienced Laparoscopic Surgeon

Is the number of trocars important in laparoscopic cholecystectomy?

Two-port Mini vs Conventional Four-port vs Singleincision Laparoscopic Cholecystectomy: An Update with Review of Literature

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