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Single-Port Laparoscopic and Robotic Cholecystectomy in Obesity (>25 kg/m2)

Authors
 Eun Jeong Jang  ;  Young Hoon Roh  ;  Chang Moo Kang  ;  Dong Kyun Kim  ;  Ki Jae Park 
Citation
 JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, Vol.23(2) : e2019.00005, 2019 
Journal Title
 JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS 
ISSN
 1086-8089 
Issue Date
2019
Keywords
Body mass index ; Robotic single-site Cholecystectomy ; Single-port laparoscopiccholecystectomy
Abstract
BACKGROUND AND OBJECTIVES: Single-port cholecystectomy has emerged as an alternative technique to reduce the number of ports and improve cosmesis. Few previous studies have assessed obesity-related surgical outcomes following single-port cholecystectomy. In this study, technical feasibility and surgical outcomes of single-port laparoscopic cholecystectomy (SPLC) and robotic single-site cholecystectomy (RSSC) in obese patients were investigated. METHODS: We conducted a two-center collaborative study and retrospectively reviewed initial experiences of RSSC and SPLC in patients whose body mass index was over 25 kg/m2. Medical records of patients were reviewed. Clinical characteristics and short-term oncologic outcomes were considered and compared between SPLC and RSSC groups. RESULTS: RSSC and SPLC were performed in 39 and 78 patients, respectively. In comparative analysis, the total operative time was longer in the RSSC group (109.92 minutes vs. 60.99 minutes; P < .001).However, requiring additional port for completion of surgical procedure was less frequent in the RSSC group (0% vs. 12.8%; P = .029). Immediate postoperative pain score was not significantly different between the two groups (4.95 vs. 5.00; P = .882). However, pain score was significantly lower in the RSSC group at the time of discharge (1.79 vs. 2.38; P = .010). Conversion to conventional multiport cholecystectomy, intraoperative bile spillage, or complication rate was not significantly different between the two groups (P > .05). CONCLUSIONS: SPLC and RSSC could be safely performed in selected patients with high body mass index, showing no significant clinical differences.
Files in This Item:
T201902221.pdf Download
DOI
10.4293/JSLS.2019.00005
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170400
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