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Single-fulcrum laparoscopic cholecystectomy: a single-incision and multi-port technique

Authors
 Sung Hoon Choi  ;  Ho Kyoung Hwang  ;  Chang Moo Kang  ;  Woo Jung Lee 
Citation
 ANZ JOURNAL OF SURGERY, Vol.82(7-8) : 529-534, 2012 
Journal Title
ANZ JOURNAL OF SURGERY
ISSN
 1445-1433 
Issue Date
2012
MeSH
Adult ; Aged ; Cholecystectomy, Laparoscopic/instrumentation* ; Cholecystectomy, Laparoscopic/methods* ; Female ; Gallbladder Diseases/surgery ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Young Adult
Keywords
Adult ; Aged ; Cholecystectomy, Laparoscopic/instrumentation* ; Cholecystectomy, Laparoscopic/methods* ; Female ; Gallbladder Diseases/surgery ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Young Adult
Abstract
BACKGROUND:   Single-incision laparoscopic cholecystectomy (LC) is still technically demanding and usually requires specially designed instruments. This article describes our own technique, a single-fulcrum LC using only standard ports and instruments.

METHODS:   Between March 2009 and December 2010, 130 consecutive patients, all scheduled to undergo elective LC, underwent this single-fulcrum LC for benign gallbladder disease. Perioperative surgical outcomes were retrospectively evaluated.

RESULTS:   One hundred and ten patients (84.6%) underwent successful single-fulcrum LC, and 20 patients (15.4%) were converted to conventional surgery (n= 18) or required additional trocars (n= 2) during the procedure because of umbilical hernia (n= 3), severe inflammation or adhesion (n= 9), impacted cystic duct stone (n= 3), anatomical anomaly (n= 3) and iatrogenic injury (n= 2). Two intraoperative complications (iatrogenic injury) were securely managed using additional trocars and there was no post-operative morbidity or mortality. This single-fulcrum LC could be performed with comparable cost to conventional LC, and the sequential operative time showed reasonable learning curve.

CONCLUSION:   Single-fulcrum LC is feasible, safe and quite reproducible. The surgical wound can be dramatically reduced at a similar cost to conventional LC. It may be an alternative procedure for most uncomplicated benign gallbladder disease.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1445-2197.2012.06125.x/abstract
DOI
22776541
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/22282913/89589
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