Stabilization of Single-incision Laparoscopic Cholecystectomy by Needle Puncture and Bendable Retractor

被引:0
作者
Takahashi, Kodai [1 ]
Kanehira, Eiji [1 ]
Kamei, Aya [1 ]
Tanida, Takashi [1 ]
Sasaki, Kazunori [2 ]
机构
[1] Med Topia Soka, Dept Surg, 1-11-18 Yatsuka, Soka City, Saitama 3400028, Japan
[2] Yokohama Shin Midori Gen Hosp, Dept Surg, Yokohama, Kanagawa, Japan
关键词
laparoscopic cholecystectomy; single-incision; needlescopic surgery; INTRAGASTRIC SURGERY; PORT; TRIAL; COMPLICATIONS; METAANALYSIS; INSTRUMENTS; OUTCOMES; SYSTEM;
D O I
10.1097/SLE.0000000000000539
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: A recent meta-analysis and systematic review suggested that single-incision laparoscopic cholecystectomy (SILC) had a higher procedure failure rate with more blood loss and that it required a longer surgical time than conventional laparoscopic cholecystectomy. Herein, we introduce our experience with the needlescopic grasper-assisted and bendable retractor-assisted SILC technique and evaluate its safety and sustainability. Methods: The present retrospective cohort study included 407 Japanese patients who underwent needlescopic grasper-assisted and bendable retractor-assisted SILC between January 2012 and April 2017 at our institution. Results: In the present study, all patients successfully underwent needlescopic grasper-assisted and bendable retractor-assisted SILC without conversion to open surgery. Regarding surgical outcomes, mean surgical time was 58.2 +/- 23.2 minutes, and additional ports were required in 9 patients (2.2%). Postoperative morbidity developed in only 6 patients (1.4%). Conclusions: The surgical approaches defined herein were safe and sustainable with favorable surgical outcomes. Compared with conventional SILC, needlescopic grasper-assisted and bendable retractor-assisted SILC might become a mainstream procedure for minimally invasive surgery from the viewpoint of surgical difficulty.
引用
收藏
页码:375 / 379
页数:5
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