Single‐incision laparoscopic adrenalectomy at <scp>V</scp>iet <scp>D</scp>uc <scp>U</scp>niversity <scp>H</scp>ospital

Tran, Giang Binh; Nguyen, Thai-Thanh; Le, Khanh Viet

doi:10.1111/j.1758-5910.2012.00157.x

Cited by 2 publications

(2 citation statements)

References 17 publications

(47 reference statements)

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“…In 1997, Navarra et al (1) first described one-wound laparoscopic cholecystectomy, and in 1999, Piskun and Rajpal (2) performed SILS by inserting two trocars through the umbilical incision and putting additional stay sutures to retract and stabilize the gallbladder. SILS is evolving and adapted to different surgical procedures such as appendectomy, colectomy, nephrectomy, splenectomy, hepatectomy, and so on (3–13).…”

Section: Introductionmentioning

confidence: 99%

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Extraumbilical Single-Incision Laparoscopic Cholecystectomy with Standard Laparoscopic Instruments

Oruç

Uğurlu

2013

Scand J Surg

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Background and Aim: Single-incision laparoscopic surgery is a rapidly progressing field as it combines some advantages such as cosmesis and less incisional pain. However, it also has some disadvantages such as limitation of movement and clashing of the hand instruments, which increase the complexity and technical challenges of the operation. In this study, we describe a pilot trial of single-incision laparoscopic cholecystectomy through a paramedian access site.Material and Methods: A total of 25 patients underwent single-incision laparoscopic cholecystectomy with this method. Acute cases with empyema and patients with history of previous abdominal surgery were excluded. Single-incision is established on the right upper quadrant, right latero-superior of the umbilicus, so that trocar sites and projection of the gallbladder on the abdominal wall are on the same vertical line. Standard laparoscopic instruments were placed into the abdominal cavity providing triangulation. Once the laparoscope, grasper, and dissector are in place, the overall procedures are similar to the standard laparoscopic cholecystectomy.Results: Single-incision laparoscopic cholecystectomy through an extraumbilical access site was successfully completed in all 25 patients without conversion to open surgery. Additional skin incisions and trocar access were required only in two patients. The mean operative time was 39.3 min (range: 20-75 min). The mean body mass index was 27.2. Postoperative course was uneventful in all patients. The mean postoperative hospital stay was shorter than 24 h, and all patients were discharged at first day postoperatively. No postoperative complications including seroma, wound infection, and trocar-site hernia were observed at 6-month follow-up.Conclusion: We described a new access site for single-incision laparoscopic cholecystectomy using standard laparoscopic instruments. We believe that this type of

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Section: Introductionmentioning

confidence: 99%

“…Key words: Cholecystectomy; laparoscopy; single-incision laparoscopic surgery (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

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confidence: 99%

Extraumbilical Single-Incision Laparoscopic Cholecystectomy with Standard Laparoscopic Instruments

Oruç

Uğurlu

2013

Scand J Surg

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Single-port Laparoscopic Cholecystectomy: Comparative Study of Consecutive Initial 206 Cases

Bae

Lee

Hong

et al. 2013

J Minim Invasive Surg

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Purpose: Laparoscopic cholecystectom y has been the standard of care for gallbladder diseases since the late 1980s. Many surgeons have rapidly adopted single-port laparoscopic cholecystectom y for gallbladder pathologies. The aim of the current study w as to analyze clinical outcom e in initial single-port laparoscopic cholecystectom y. Methods: Analysis of data from 206 consecutive single-port laparoscopic cholecystectom ies perform ed betw een M ay 2008 and Jun 2012 w as conducted retrospectively. W e divided the patients into four groups according to surgery period-period I (n=56), II (n=50), III (n=50), and IV (n=50), consecutively. During each procedure only one longitudinal transum bilical incision, 1.5 to 2.0 cm in length, w as m ade in order to access the abdom inal cavity. O ne of the various single-port trocars w as used for the procedure. Standard laparoscopic instrum ents w ere used in perform ance of cholecystectom y. Results: Patients' dem ographics did not differ am ong the groups. O f the 14 cases that w ere converted to conventional laparoscopic surgery, seven w ere part of period I, one of II, five of III, and one of IV. Mean operation tim e for single-port laparoscopic cholecystectom y in each group w as 71.6, 58.2, 69.1, and 53.3 m inutes, in order. There w ere tw o operative com plications in period I, w hich w ere m anaged successfully w ith laparoscopic surgery. N o statistical difference in hospital stay w as observed am ong the groups. Conclusion: Single-port laparoscopic cholecystectom y can be perform ed safely for various gallbladder lesions in selected cases, and the operation tim e im proved w ith accum ulation of cases.

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Single‐incision laparoscopic adrenalectomy at Viet Duc University Hospital

Abstract: Our preliminary results show that SILS adrenalectomy is safe and technically feasible. It should be considered among the surgical managements for selected patients with adrenal tumors.

Cited by 2 publications

References 17 publications

Extraumbilical Single-Incision Laparoscopic Cholecystectomy with Standard Laparoscopic Instruments

Extraumbilical Single-Incision Laparoscopic Cholecystectomy with Standard Laparoscopic Instruments

Single-port Laparoscopic Cholecystectomy: Comparative Study of Consecutive Initial 206 Cases

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