Single‐incision laparoscopic cholecystectomy

Castellanos, Andres; Fazendin, Jessica; Panait, Lucian

doi:10.1002/cld.431

Cited by 4 publications

(4 citation statements)

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“…Minimally invasive surgery is one of the growing developments of surgery. At present, single-incision endoscopic surgeries such as single-incision appendectomy and single-incision cholecystectomy are widely performed [55,56]. Since Gonzalez's rst report of single-incision VATS lobectomy [57], retrospective studies have shown that single-incision VATS lobectomy is safe and feasible [58][59][60][61][62].…”

Section: Discussionmentioning

confidence: 99%

Short-and long-term outcomes of video-assisted thoracoscopic lobectomy in elderly patients with non-small-cell lung cancer

Yang

Wang

Ren

et al. 2020

Preprint

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Objective This study aimed to explore the short-and long-term outcomes of video-assisted thoracoscopic (VATS) lobectomy in older patients with non-small-cell lung cancer (NSCLC). Methods A total of 218 NSCLC patient data between January 2014 and January 2019, which included pathological, clinical, and follow-up surveys on VATS lobectomy, were retrospectively analyzed. Of the 218-patient data analyzed, a total of 77 patients were 70 years of age and older (elderly group), while a total of 141 patients were below 70 years of age (nonelderly group).Results Concerning general preoperative data, the simplified comorbidity score (SCS) and the American Society of Anesthesiologists (ASA) scores were higher in the elderly patient group as compared to the nonelderly patient group. Also, elderly patients had poor pulmonary function performance as compared to their counterparts. There were, however, no significant statistical differences found with surgical data between the two groups concerning intraoperative blood loss, operation duration, and conversion to thoracotomy. None of the patients in either of the groups died within thirty days of the operation. Additionally, there were no significant statistical differences in the five-year overall survival rate and the five-year disease-free survival rate between both groups.Conclusion NSCLC treatment with VATS lobectomy is safe and feasible in elderly patients, and it can provide excellent long-term outcomes. However, it is necessary to strengthen perioperative management and promote early postoperative recovery to reduce complications.

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Section: Discussionmentioning

confidence: 99%

Short-and long-term outcomes of video-assisted thoracoscopic lobectomy in elderly patients with non-small-cell lung cancer

Yang

Wang

Ren

et al. 2020

Preprint

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“…Now, a new and even less invasive technique is emerging in an attempt to further improve outcomes for patients undergoing removal of the gallbladder. Robotic single-site cholecystectomy (RSSC) is rapidly emerging as a safe and feasible alternative to conventional 4-port laparoscopic techniques [3][4][5]. Current research suggests significant benefits of a single-incision for operative use including improved cosmetics and shorter hospital stays [6], but more research is needed to investigate the efficacy of RSSC and which patient populations are most suited for this procedure.…”

Section: Introductionmentioning

confidence: 99%

Robotic Single-Site Cholecystectomy: A Single-Center Retrospective Study

Salim,

Daidone,

Smith

et al. 2023

Cureus

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Objective Our goal is to describe and report the outcomes of patients undergoing robotic single-site cholecystectomy at a single institution. Background Cholecystectomy is a common procedure performed to remove the gallbladder. Robotic single-site cholecystectomy (RSSC) is rapidly emerging as a safe and feasible alternative to conventional 4-port laparoscopic techniques. Patients who undergo RSSC procedures may also have a decreased need for postoperative analgesics and a lower postoperative pain score. Methods From September 2020 to August 2023, there were 33 cases of RSSC performed by a single surgeon at a single institution. We recorded demographic data including sex, age, and BMI as well as postoperative outcome data including wound dehiscence, postoperative infection, biliary leakage, wound herniation, blood loss, and conversion to open procedure. Results The patient group included 24 females (72.7%) and nine males (27.3%) with a median age of 32 (Range: 9-70) and a median BMI of 24.2 kg/m 2 (Range: 18.1-30.7). The majority of these patients were receiving cholecystectomies for benign conditions such as symptomatic cholelithiasis (n = 18, 54.5%), biliary dyskinesia (n = 13, 39.4%), acute cholecystitis (n = 1, 0.03%), and biliary colic (n = 1, 0.03%). The average estimated blood loss was 5.91 mL. Thirty-two patients (96.9%) were discharged home the same day of surgery. One patient was admitted overnight for observation due to severe biliary dyskinesia diagnosed preoperatively. The patient had no complications and was discharged the following day. One patient presented with acute abdominal wall cellulitis and omphalitis with no underlying abscess four weeks after the operation. They were treated with therapeutic antibiotics. No patients underwent conversion to an open procedure. There were no incidences of postoperative wound dehiscence or biliary leakages. One patient was admitted overnight for observation of biliary dyskinesia and another experienced abdominal wall cellulitis four weeks post-operation. Conclusions Although conventional multi-incision laparoscopic cholecystectomy remains the gold standard treatment for benign gallbladder disease, our study demonstrates the practicality and safety of Robotic Single-Site Cholecystectomy procedures.

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“…With enhanced experience and more advanced instrumentation, new less invasive approaches are preferred to further reduce post-operative pain, improve cosmesis and decrease recovery time in minimally invasive surgery (Bisgaard et al 2002;Chang et al 2020;Shaikh et al 2017). New techniques such as natural ori ce translumenal endoscopic surgery (NOTES) (Auyang et al 2009;Gumbs et al 2009) and single-incision laparoscopic surgery (SILS) (Castellanos et al 2015;Yamazaki et al 2015)have been developed in the eld of cholecystectom. However, NOTES technique is still controversial as it requires a long and di cult operation process and a multidisciplinary team.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic cholecystectomy with two mini incisions: an innovative, feasible and safe technique with superior cosmetic outcomes

Xu¹,

Wang²,

Fang³

et al. 2020

Preprint

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The conventional laparoscopic cholecystectomy (CLC) is usually performed with four incisions in a simple and safe way. Minimally invasive surgery for gallbladder disease with advantages of less pain and smaller scars, has become increasingly popular in patients. This study aimed to describe our experience in performing a new technique of two-incision laparoscopic cholecystectomy (TILC) with conventional instruments and make a comparison with CLC. In this study, forty-three prospective patients undergoing TILC and another forty-three historical cases operated by CLC were involved. The patients were examined in respect of operative time, postoperative pain, cosmesis and complications. We found that there was no significant difference in the gender, age, body mass index, bile duct damage, blood loss and days of postoperative hospital stay between TILC and CLC. The mean operation time in TILC was longer than that in CLC, but not statistically different. Significantly lower postoperative pain scores were reported in the TILC group than those in the CLC one (p = 0.019). The mean cosmetic satisfaction score was significantly higher in TILC group than that in CLC group (p < 0.05). These results confirm that TILC is a safe and feasible technique with less postoperative pain and a significant improvement in cosmesis for patients, only by using conventional instruments. It may be a good alternative to CLC in the future.

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Single‐incision laparoscopic cholecystectomy

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Cited by 4 publications

References 8 publications

Short-and long-term outcomes of video-assisted thoracoscopic lobectomy in elderly patients with non-small-cell lung cancer

Short-and long-term outcomes of video-assisted thoracoscopic lobectomy in elderly patients with non-small-cell lung cancer

Robotic Single-Site Cholecystectomy: A Single-Center Retrospective Study

Laparoscopic cholecystectomy with two mini incisions: an innovative, feasible and safe technique with superior cosmetic outcomes

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