Appendicectomy and Cholecystectomy Using Single-Incision Laparoscopic Surgery (SILS): The First UK Experience

Chow, Andre; Purkayastha, Sanjay; Paraskeva, Paraskevas

doi:10.1177/1553350609344413

Cited by 134 publications

(112 citation statements)

References 22 publications

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“…(11)(12)(13)(14) SPLC is regarded to be feasible and safe when performed by experienced laparoscopic surgeons. (8) It has been questioned whether or not SPLC is associated with significant improvement in post-operative pain, (15) SPLC were divided into two separate groups, group 2 and group 3, respectively.…”

Section: Introductionmentioning

confidence: 99%

Clinical Analysis of Single-Port Laparoscopic Cholecystectomies: Early Experience

Song

Kim

et al. 2011

J Korean Surg Soc

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Purpose: Single-port laparoscopic cholecystectomy (SPLC) is a technique under development in the field of minimally-invasive surgery. We have considered the feasibility of SPLC based on the advantages or restrictions compared with multi-port procedures. Methods: Two hundred seventeen patients with benign gallbladder disease who underwent SPLC or multi-port laparoscopic cholecystectomy (MPLC) during the most recent 10 months were retrospectively reviewed. Results: Patients were divided into two or three groups based on the operative period and disease. The mean age and ASA scale were different between the three groups. The intra-operative bile leakage and post-operative hospital stay were significantly less in the SPLC group; however, the blood loss and operative time was greater in the SPLC group. When patients with empyema of the gallbladder were excluded and all patients were reassigned into two groups based on the operative method, the incidence of bile leakage and post-operative hospital stay were similar between the two groups. The mean blood loss and operative time were higher in the patients who underwent SPLC. The mean numeric rating scale (NRS) and requirement for opioid analgesics were similar in the two groups. Conclusion: With the exception of increased intra-operative hemorrhage and a longer operative time, the risks associated with SPLC were not greater than MPLC. With adequate analgesics, advances in laparoscopic instruments, and surgical experience, SPLC is expected to gain acceptance amongst physicians. (J Korean Surg Soc 2011;80:43-50)

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Section: Introductionmentioning

confidence: 99%

Clinical Analysis of Single-Port Laparoscopic Cholecystectomies: Early Experience

Song

Kim

et al. 2011

J Korean Surg Soc

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“…4,[12][13][14][15][16][17][18] But the successive rate of SILS technique can be confirmed by prospective clinical trial but no study was found yet.…”

Section: Discussionmentioning

confidence: 75%

An observational study to compare single incision laparoscopic appendectomy with conventional multiport laparoscopic appendectomy

et al. 2016

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INTRODUCTIONAcute appendicitis is the most common surgical emergency and carries lifetime risk of 8%. 1 Appendectomy has been the primary treatment of choice for acute appendicitis, and although antibiotics have established some use but surgery remains the treatment of choice. Open surgery, laparoscopic appendectomy and now single port surgery for appendicitis has become routine approach.Laparoscopic surgery also called minimally invasive surgery (MIS), is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5-1.5 cm) as opposed to the larger incisions needed in laparotomy and considered as gold standard treatment for acute appendicities.2-4 This technique has many advantages over open procedure like reduced pain due to smaller incisions and hemorrhage, and shorter recovery time. But this technique had a limitation of scars after surgery hence a novel technique has evolved called single incision laparoscopic surgery (SILS), preferably in the navel, with advantages of ABSTRACT Background: Appendicitis is the most common intra-abdominal condition requiring emergency surgery and it is approached by laparoscopic procedures. Innovative methods were developed that reduce tissue trauma and offer improved cosmetic results, one of such being the single-incision laparoscopic surgery (SILS) with advantages of reduced postoperative morbidity and almost invisible scar. Methods: 60 patients were included in the study after meeting inclusion criteria and divided into two groups 30 each. One group had undergone single incision laparoscopic appendectomy and other with multiple port laparoscopic appendectomy. Preoperative, intraoperative and postoperative parameters were collected. Data involving patients' demographics, operative time, length of hospital stay and both intraoperative and postoperative complications were collected. Results: The mean duration of surgery in multiple appendectomy was lesser compared to single port appendectomy and values are insignificant (p =0.1844) when compared between the two groups. None of the patients in both the groups did not have any intraoperative complication. Only one patient in single port appendectomy converted to open surgery. The mean postoperative pain VAS score was 2.00 in multiport appendectomy group which was significantly more as compared to 1.60 among single port appendectomy group after 24 hrs. The postoperative complications and the duration of stay in hospital were almost similar in both the groups. The complications observed during follow up in both the cases were minimal and statistically insignificant. Conclusions: The major advantage of SILS is cosmetic satisfaction, while the disadvantages of SILS are longer operative time and higher conversion rate.

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“…In addition, in recent years, efforts to improve LA have led to a reduction in port size diameter and the number of laparoscopic access sites needed and to the introduction of SILS. [6][7][8][9] Between July 2008 and April 2013, 360 patients with colorectal cancer underwent laparoscopic surgery at our institution. Our experience with this surgical technique showed it to be safe and feasible, with good short-and long-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

A Single Case of Single-Port Access Laparoscopic Appendectomy During the Puerperium

Matsuhashi

Takahashi

Ichikawa

et al. 2015

International Surgery

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Laparoscopic appendectomy is now widely practiced for the treatment of acute appendicitis. As result of increased demand for minimally invasive surgery, singleincision access was introduced and is being performed in various abdominal surgeries. Conventional laparoscopic appendectomy (LA) is gradually being performed in pregnant women. A 33-year-old woman was referred to our department at 39 weeks and 1 day of gestation due to abdominal pain. She was aware of her gastroepiploic pain even after the delivery. Though it was past 2 days, she was not recovering from right lower abdominal pain, so she was transferred to the Department of Gynecology at our hospital on the same day. Although an antibiotic was administered, the right abdominal pain did not improve, and she was referred to our department from the Department of Gynecology. We performed single-port LA (SP-LA). The total operation time was 63 minutes, and the estimated blood loss was 0 mL. She was discharged with no complications on postoperative day 7. We report our initial experience with single-port LA (SP-LA) using the glove technique for treatment of acute appendicitis in a postpartum woman. SP-LA using the glove technique was performed successfully during the puerperium without prolongation of operation time. This approach is less invasive, offers a much better cosmetic result than with conventional methods, and can be performed safely and at low cost.

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Appendicectomy and Cholecystectomy Using Single-Incision Laparoscopic Surgery (SILS): The First UK Experience

Abstract: In our series, we have demonstrated SILS to be a safe and efficacious method for appendicectomy and cholecystectomy. Further studies are required to investigate any potential advantages of this method over standard laparoscopic techniques.

Cited by 134 publications

References 22 publications

Clinical Analysis of Single-Port Laparoscopic Cholecystectomies: Early Experience

Clinical Analysis of Single-Port Laparoscopic Cholecystectomies: Early Experience

An observational study to compare single incision laparoscopic appendectomy with conventional multiport laparoscopic appendectomy

A Single Case of Single-Port Access Laparoscopic Appendectomy During the Puerperium

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