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Single-Fulcrum Laparoscopic Cholecystectomy in Uncomplicated Gallbladder Diseases: A Retrospective Comparative Analysis with Conventional Laparoscopic Cholecystectomy

Authors
 Ho Kyoung Hwang  ;  Sung Hoon Choi  ;  Chang Moo Kang  ;  Woo Jung Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.54(6) : 1471-1477, 2013 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2013
MeSH
Adult ; Aged ; Cholecystectomy, Laparoscopic/economics ; Cholecystectomy, Laparoscopic/statistics & numerical data* ; Female ; Gallbladder Diseases/economics ; Gallbladder Diseases/surgery* ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Postoperative Complications ; Retrospective Studies ; Treatment Outcome
Keywords
Laparoscopic ; cholecystectomy ; single incision ; single port
Abstract
PURPOSE:
Single-fulcrum laparoscopic cholecystectomy (SFLC) is a variant type of single incision and multi-port technique that does not use specialized one-port devices or articulating instruments. We retrospectively compared perioperative outcomes of SFLC with those of conventional laparoscopic cholecystectomy (CLC).
MATERIALS AND METHODS:
Between March 2009 and December 2010, SFLC was performed in 130 patients. Among them, 105 patients with uncomplicated gallbladder disease (no inflammation or no clinical symptoms) and another 105 patients who underwent CLC were selected for this study.
RESULTS:
There was no open conversion. In comparison with CLC, SFLC was performed more often in young (46.4±12.2 years vs. 52.5±13.6 years, p=0.001) female patients (80/25 vs. 62/43, p=0.008). The total operation time was longer in SFLC (56.7±14.1 min vs. 47.5±17.1 min, p<0.001), but pain scores immediately after operation and at discharge time were lower for SFLC than for CLC (3.1±1.3 vs. 4.0±1.9, p<0.001, 2.0±0.9 vs. 2.4±0.8, p=0.002). Total cost was lower for SFLC than for CLC (US $ 1801±289.9 vs. US $ 2003±617.4, p=0.004). There were no differences in hospital stay or complication rates.
CONCLUSION:
SFLC showed greater technical feasibility and cost benefits in treating uncomplicated benign gallbladder disease than CLC.
Files in This Item:
T201304000.pdf Download
DOI
10.3349/ymj.2013.54.6.1471
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
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Choi, Sung Hoon(최성훈)
Hwang, Ho Kyoung(황호경) ORCID logo https://orcid.org/0000-0003-4064-7776
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88426
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