Cosmetic minilaparoscopic cholecystectomy

Leggett, P. L.; Bissell, C. D.; Churchman-Winn, R.

doi:10.1007/s004640041018

Cited by 17 publications

(10 citation statements)

References 4 publications

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“…For 3-mm needlescope procedures reported previously, the mean patient age, operation time, postoperative hospital stay, rates of conversion to conventional laparoscopic and open procedures, and morbidity rate were 50.8 years, 65.4 min, 1.6 days, 7.8 and 1.5%, and 5.7%, respectively [18,29,[32][33][34][35][36][37][38][39]. The corresponding figures for the use of 2-mm or 3-mm instruments plus 5-mm ones were 50.1 years, 61.5 min, 3.1 days, 6.6 and 0%, and 1.3%, respectively [37][38][39][40][41][42][43]. The duration of surgery depended on the size of the instruments employed.…”

Section: Discussionmentioning

confidence: 99%

Reevaluation of needlescopic surgery

Tagaya

Kubota

2011

Surg Endosc

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Section: Discussionmentioning

confidence: 99%

Reevaluation of needlescopic surgery

Tagaya

Kubota

2011

Surg Endosc

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“…We are continuing the evaluation of the BJ needle in a multi-center trial. Table 3 shows the operative results with 2-or 3-mm instruments plus 5-mm instruments in 7 institutions [12,16,[32][33][34][35][36]. The mean age was 50.1 years.…”

Section: Discussionmentioning

confidence: 99%

Needlescopic surgery for liver, gallbladder and spleen diseases

Tagaya

Abe

Kubota

2011

J Hepato Biliary Pancreat

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Background We propose that needlescopic surgery (NS) should be considered as a way of improving the esthetic result and post-operative quality of life of patients and of reducing costs and stress on surgeons, and we have evaluated the results of NS. Methods We used NS in 157 patients between May 1998 and December 2010: cholecystectomy in 150 patients, marsupialization of splenic and hepatic cysts in 4 and splenectomy in 3, respectively. Under general anesthesia, one 12-mm and two or three 2-or 3-mm ports were introduced into the operative field. The specimen was retrieved from the 12-mm wound using a plastic bag. Results The procedures were successfully completed in all patients without conversion to an open procedure. In eight (5.3%) of 150 cholecystectomies a change to 5-mm instruments was required. The mean operation times and postoperative hospital stays for cholecystectomy, splenectomy, and marsupialization of splenic and hepatic cysts were 80.2 min and 3.2 days, 167 min and 5.6 days, 170 min and 7 days, and 120 min and 7 days, respectively. There were a few perioperative complications. The most important factor for reducing operation time and achieving a low conversion rate is the use of at least one 3-or 5-mm port for the grasping instruments in cholecystectomy. We recognized a residual cyst requiring splenectomy 62 months after marsupialization in one case. Technical points for performing safe procedures on solid organs were: no direct organ mobilization to avoid organ injuries, the rotation of the operating table and the utilization of organ gravity to create a better operative field, the minimum use of the needlescope to perform a safe maneuver and the improvement of bi-manual technique. Conclusions NS is a safe and feasible procedure for achieving minimal invasive surgery. We should consider NS as a first choice to treat operable diseases in this laparoscopic era.

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“…Several studies comparing MLC and conventional LC have documented benefits of MLC as a less invasive procedure that produces better cosmetic outcomes [2,16]. However, many of the studies are based on a limited patient sample [3,4,9,18], with the result that the findings are less reliable for inferring population statistics of mortality, morbidity, total operation time, conversion rate and hospital stay. The purpose of this study was to review retrospective the results of 1,011 MLCs performed at one single institution in Taiwan.…”

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confidence: 97%