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

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dc.contributor.author최성훈-
dc.contributor.author황호경-
dc.contributor.author강창무-
dc.contributor.author이우정-
dc.date.accessioned2014-12-19T16:28:16Z-
dc.date.available2014-12-19T16:28:16Z-
dc.date.issued2012-
dc.identifier.issn1445-1433-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89589-
dc.description.abstractBACKGROUND:   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.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfANZ JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCholecystectomy, Laparoscopic/instrumentation*-
dc.subject.MESHCholecystectomy, Laparoscopic/methods*-
dc.subject.MESHFemale-
dc.subject.MESHGallbladder Diseases/surgery-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHYoung Adult-
dc.titleSingle-fulcrum laparoscopic cholecystectomy: a single-incision and multi-port technique-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorSung Hoon Choi-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorChang Moo Kang-
dc.contributor.googleauthorWoo Jung Lee-
dc.identifier.doi10.1111/j.1445-2197.2012.06125.x-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04085-
dc.contributor.localIdA02993-
dc.contributor.localIdA04497-
dc.contributor.localIdA00088-
dc.relation.journalcodeJ00193-
dc.identifier.eissn1445-2197-
dc.identifier.pmid22776541-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/j.1445-2197.2012.06125.x/abstract-
dc.subject.keywordAdult-
dc.subject.keywordAged-
dc.subject.keywordCholecystectomy, Laparoscopic/instrumentation*-
dc.subject.keywordCholecystectomy, Laparoscopic/methods*-
dc.subject.keywordFemale-
dc.subject.keywordGallbladder Diseases/surgery-
dc.subject.keywordHumans-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordYoung Adult-
dc.contributor.alternativeNameChoi, Sung Hoon-
dc.contributor.alternativeNameHwang, Ho Kyoung-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.alternativeNameLee, Woo Jung-
dc.contributor.affiliatedAuthorChoi, Sung Hoon-
dc.contributor.affiliatedAuthorLee, Woo Jung-
dc.contributor.affiliatedAuthorHwang, Ho Kyoung-
dc.contributor.affiliatedAuthorKang, Chang Moo-
dc.citation.volume82-
dc.citation.number7-8-
dc.citation.startPage529-
dc.citation.endPage534-
dc.identifier.bibliographicCitationANZ JOURNAL OF SURGERY, Vol.82(7-8) : 529-534, 2012-
dc.identifier.rimsid32334-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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