Single-incision laparoscopic cholecystectomy: The first Malaysian experience

被引:0
作者
Siow, Sze Li [1 ]
Khor, Tze Wei [1 ]
Chea, Chan Hooi [1 ]
Azim, Nik Abdullah Nik [1 ]
机构
[1] Jalan Hosp, Sarawak Gen Hosp, Dept Surg, Kuching 93586, Sarawak, Malaysia
关键词
cholecystectomy; single-incision laparoscopic surgery; single-incision laparoscopic cholecystectomy; SILS; transumbilical access; PORT-ACCESS; SURGERY;
D O I
10.1016/j.asjsur.2012.04.004
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Single-incision laparoscopic cholecystectomy (SILC) is an evolving concept in minimally invasive surgery. It utilizes the concept of inline viewing and a single incision that accommodates all of the working instruments. Here, we describe a single surgeon's initial experiences of using this technique in a tertiary hospital. Methods: Between January and September 2010, 21 patients underwent SILC for symptomatic cholelithiasis. The umbilicus was the point of access into abdomen for all patients using a 2.0 -2.5-cm incision. The surgeries were performed using the Covidien SILS port with a 30 degrees angled scope and two 5-mm conventional laparoscopic instruments. Results: Nineteen patients successfully underwent surgery (8 males and 11 females; mean age: 43 years). The mean body mass index was 25.9 kg/m(2) (range: 19.0-38.2 kg/m(2)). The mean operative time was 89 minutes (range: 55-135 minutes). Minimal blood loss was noted in each patient. The mean length of the postoperative stay was 1.1 days (range: 1-3 days). No complications or mortalities were associated with the technique. The visual analogue score for pain at the 1-day and 6-week follow-up examinations was 2 (range: 1-7) and 0.6 (range: 0-3), respectively. At 6 weeks, the mean satisfaction score for the resultant scar was 8.8 (range: 4-10) and the mean overall satisfaction score was 9.2 (range: 7-10). The mean time until returning to work or normal activities was 8.8 days (range: 1-21 days). Conclusion: SILC is feasible and demonstrates a good clinical outcome. Copyright (C) 2012, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.
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页码:23 / 28
页数:6
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