Completion of single-incision laparoscopic cholecystectomy using the modified Konyang standard method

Um, Min Ho; Lee, Seung-Jae; Moon, Ju Ik; Lee, Sang Eok; Sung, Nak Song; Kwon, Sun U.; Bae, In Eui; Rho, Seung Jae; Kim, Sung Gon; Yoon, Dae Sung; Choi, Won Jun

doi:10.1007/s00464-021-08856-6

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…We refer to this method as the modified Konyang standard method. The detailed surgical technique was described in our previous study [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Single-incision versus conventional multiport laparoscopic cholecystectomy in acute cholecystitis according to disease severity: single center retrospective study in Korea

Lee,

Moon,

Lee

et al. 2023

J Minim Invasive Surg

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Purpose The safety of single-incision laparoscopic cholecystectomy (SILC) for acute cholecystitis (AC) has not yet been confirmed. Methods This single-center retrospective study included patients who underwent laparoscopic cholecystectomy (LC) for AC between April 2010 and December 2020. Propensity scores were used to match patients who underwent SILC with those who underwent conventional multiport LC (CMLC) in the entire cohort and in the two subgroups. Results A total of 1,876 patients underwent LC for AC, and 427 (22.8%) underwent SILC. In the propensity score-matched analysis of the entire cohort (404 patients in each group), the length of hospital stay (2.9 days vs. 3.5 days, p = 0.029) was shorter in the SILC group than in the CMLC group. No significant differences were observed in other surgical outcomes. In grade I AC (336 patients in each group), the SILC group showed poorer surgical outcomes than the CMLC group, regarding operation time (57.6 minutes vs. 52.4 minutes, p = 0.001) and estimated blood loss (22.9 mL vs. 13.1 mL, p = 0.006). In grade II/III AC (58 patients in each group), there were no significant differences in surgical outcomes between the two groups. Postoperative pain outcomes were also not significantly different in the two groups, regardless of severity. Conclusion This study demonstrated that SILC had similar surgical and pain outcomes to CMLC in patients with AC; however, subgroup analysis showed that SILC was associated with poor surgical outcomes than CMLC in grade I AC. Therefore, SILC should be carefully performed in patients with AC by experienced hepatobiliary surgeons.

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“…We refer to this method as the modified Konyang standard method. The detailed surgical technique was described in our previous study [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Single-incision versus conventional multiport laparoscopic cholecystectomy in acute cholecystitis according to disease severity: single center retrospective study in Korea

Lee,

Moon,

Lee

et al. 2023

J Minim Invasive Surg

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show abstract

“…Meanwhile, the dissector, scissors, and electrocautery suction–irrigation device were inserted into the right upper channel below the grasper. The detailed surgical technique has been described in our previous study [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

“…At our institution, SILC has been performed for benign gallbladder diseases since 2010. We have reported the evolution of our surgical method for SILC [ 9 , 10 ], as well as the risk factors for conversion to conventional multiport laparoscopic cholecystectomy (CMLC) [ 11 ] and prolonged operation time [ 12 ]. The current study aimed to identify the optimal indications for SILC by analyzing the difficulty of surgery and postoperative outcomes from our experience of >10 years.…”

Section: Introductionmentioning

confidence: 99%

Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases

Lee

Moon

Yoon

et al. 2022

J Minim Invasive Surg

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Purpose:The optimal indications for single-incision laparoscopic cholecystectomy (SILC) have not yet been established. Methods:This single-center retrospective study included consecutive patients who underwent SILC between April 2010 and June 2020. Difficult surgery (DS) (conversion to multiport or open cholecystectomy, adjacent organ injury, operation time of ≥90 minutes, or estimated blood loss of ≥100 mL) and poor postoperative outcome (PPO) (postoperative hospital stay ≥ 7 days or Clavien-Dindo grade ≥ II postoperative complications) were defined to comprehensively evaluate surgical difficulty and postoperative outcomes, respectively.Results: Of 1,405 patients (mean age, 51.2 years; 802 female [57.1%]), 427 (grade I, n = 358; grade II/III, n = 69) underwent SILC for acute cholecystitis (AC), 34 (2.4%) needed conversion to multiport (n = 33) or open cholecystectomy (n = 1), 7 (0.5%) had adjacent organ injury during surgery, and 49 (3.5%) developed postoperative complications. Of the patients, 89 and 52 had DS and PPO, respectively. In the multivariate analysis, grade I AC, grade II/III AC, and body mass index of ≥30 kg/m 2 were significant predictors of DS. Age of ≥70 years and DS were significant predictors of PPO. In a subgroup analysis of patients with AC, DS (9.5% vs. 27.5%, p < 0.001) and PPO (5.0% vs. 15.9%, p = 0.001) were more frequent in patients with grade II/III AC than in those with grade I AC. Conclusion:SILC is not recommended in patients with grade II/III AC and should be carefully performed by experienced and well-trained surgeons.

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Robotic single-site cholecystectomy is better in reducing postoperative pain than single-incision and conventional multiport laparoscopic cholecystectomy

Lee

Moon

2023

Surg Endosc

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Completion of single-incision laparoscopic cholecystectomy using the modified Konyang standard method

Cited by 3 publications

References 30 publications

Single-incision versus conventional multiport laparoscopic cholecystectomy in acute cholecystitis according to disease severity: single center retrospective study in Korea

Single-incision versus conventional multiport laparoscopic cholecystectomy in acute cholecystitis according to disease severity: single center retrospective study in Korea

Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases

Robotic single-site cholecystectomy is better in reducing postoperative pain than single-incision and conventional multiport laparoscopic cholecystectomy

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