Comparison Between Incidence of Incisional Hernia in Laparoscopic Cholecystectomy and by Single Port

Madureira, Fernando Athayde Veloso; Gomez, Cristiane Luzia Teixeira; Almeida, Eduardo Monteiro

doi:10.1590/0102-672020180001e1354

Cited by 8 publications

(6 citation statements)

References 27 publications

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“…This is also one of the reasons why it has not been widely promoted. At the same time, a study by Madureira FA showed that patients undergoing single port cholecystectomy had a higher incidence of postoperative incisional hernia compared with conventional laparoscopic cholecystectomy [11] .…”

Section: Resultsmentioning

confidence: 97%

Clinical Study of Gimmi Ultramicro Instrument in Laparoscopic Cholecystectomy

Qiu¹,

Liu²,

Wang³

et al. 2021

ijps

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Qiu et al.: Clinical study of Gimmi ultramicro instrumentTo explore the practicability, feasibility and wound aesthetics of Gimmi ultra micro instrument in laparoscopic cholecystectomy. To retrospective analysis the clinical data of 75 patients undergoing elective surgery for gallbladder stones with chronic cholecystitis, gallbladder polyps and chronic cholecystitis who were admitted to the Department of General Surgery, Taikang Xianlin Drum Tower Hospital, Nanjing University School of Medicine, from October 2019 to October 2020. Among them, 35 cases used gimmi ultra micro instrument to remove the gallbladder (ultra-minimally invasive group) and 40 cases used the traditional three-hole method to remove the gallbladder (traditional group). The operation time, blood loss during operation, postoperative ventilation time, pain scores on the 1st and 3rd d after surgery, shortterm complications such as postoperative bleeding and bile leakage, incision scar satisfaction score, total hospital stay were compared between the two groups of patients and other indicators. Both groups of patients recovered and discharged without any bleeding or bile leakage after operation. The operation time of the ultra-minimally invasive group was slightly longer than that of the traditional group. There was no significant difference in the amount of blood loss, postoperative ventilation time and incision infection (p>0.05). The ultra-minimally invasive group was better than the traditional group in total hospital stay (p<0.05), on the 1st and 3rd d after operation, the ultra-minimally invasive group was better than the traditional group (p<0.05) and the ultra-minimally invasive group was significantly better than the traditional group (P<0.05). The gimmi ultra micro instrument is safe and reliable in laparoscopic cholecystectomy, the operation is not difficult, the postoperative pain of patients is low, the cosmetic effect is accurate and it is worthy of clinical application.

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Section: Resultsmentioning

confidence: 97%

Clinical Study of Gimmi Ultramicro Instrument in Laparoscopic Cholecystectomy

Qiu¹,

Liu²,

Wang³

et al. 2021

ijps

View full text Add to dashboard Cite

show abstract

“…29,31,35 This favourable cosmetic result can be one of the main points to leverage this approach. 36 In contrast, the incidence of incisional hernias is higher in LESS procedures, [37][38][39][40] raising questions about the real benefit of this technique. 41 However, Marks et al found no relationship between the incidence of incisional hernias in surgeries with a single portal and age, BMI, sex, smoking history, surgical time, size of the incision or way of closing the aponeurosis.…”

Section: Discussionmentioning

confidence: 99%

Does single‐site robotic surgery makes sense for gallbladder surgery?

Bosi

Rombaldi

Zaniratti

et al. 2022

Robotics Computer Surgery

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Background Cholecystectomy is one of the most performed surgeries. Several techniques were created, generating less pain, better aesthetic results and faster return to activities. Robotic surgery through a single portal combined the advantages of single‐incision surgery with the principles of conventional laparoscopy, making it a safe and feasible procedure. However, due to the high costs, this technology is hardly available in practice, especially in the public health system. The objective is to evaluate the safety of robotic cholecystectomy using the da Vinci Single‐Site © Surgical Platform (DVSSP) in a tertiary public hospital, and to assess alternatives that can reduce the costs, influencing the final real value of the procedure. Methods Prospective and descriptive study evaluating robotic cholecystectomies using the DVSSP technology performed at Hospital de Clínicas de Porto Alegre from May 2017 to November 2018. Results A total of 37 cholecystectomies were performed. The average time of surgery was 82.62 min, and no intraoperative complications were observed. There was a need for conversion to conventional laparoscopy in two surgeries (5.4%). The average cost of the robotic procedure was U$ 1146.23 and the amount passed on to the institution by the Brazilian Unified Health System was on average U$ 212.59 (p < 0.05). Postoperative outcomes were satisfactory, with an incisional hernia index of 8.1%. Conclusion Although robotic surgery in this setting is a safe and feasible alternative, the high cost of the procedure prevents its dissemination on a large scale. New alternatives are needed to reduce the value and to allow greater accessibility.

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“…After singleincision cholecystectomy, the incisional hernia rate was 8% [3]. Also, a higher incidence of incisional hernia was found in patients undergoing single port access cholecystectomy compared with conventional laparoscopic cholecystectomy [6]. Pregnancy, obesity, and chronic cough strain the abdominal wall and are therefore risk factors for hernia [7].…”

Section: Discussionmentioning

confidence: 99%

Giant ventral hernia immediately after vaginal twin delivery

2020

Clinical and Experimental Obstetrics & Gynecology

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Comparison Between Incidence of Incisional Hernia in Laparoscopic Cholecystectomy and by Single Port

Cited by 8 publications

References 27 publications

Clinical Study of Gimmi Ultramicro Instrument in Laparoscopic Cholecystectomy

Clinical Study of Gimmi Ultramicro Instrument in Laparoscopic Cholecystectomy

Does single‐site robotic surgery makes sense for gallbladder surgery?

Giant ventral hernia immediately after vaginal twin delivery

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