Effects of patients with three port laparoscopic cholecystectomy

Kanat, Burhan Hakan; Gırgın, Mustafa

doi:10.5505/jkartaltr.2012.24392

Cited by 3 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Laparoscopic cholecystectomy is a surgical method, which is preferred as a standard with regard to symptomatic gallstone disease and other benign gallbladder dis-eases. [1] The first laparoscopic cholecystectomy has been performed by Phillip Mouret, in 1987; and is improved by Dubois and Perissat in 1990. [2,3] There has been changes with respect to port locations and port numbers in laparoscopic cholecystectomy, as the experiences of the surgeons is increased.…”

Section: Introductionmentioning

confidence: 99%

Three-port versus standard four-port laparoscopic cholecystectomy: a clinical trial

Akay¹

2020

Laparosc Endosc Surg Sci

View full text Add to dashboard Cite

Introduction: After the first laparoscopic cholecystectomy was performed in 1987, the 4-port operation technique became the standard worldwide. This study is a comparison of the intraoperative complications observed using 3-port and 4-port methods, and an examination of the reliability of the 3-port method. Materials and Methods: The files of 400 patients who underwent a laparoscopic cholecystectomy due to gallbladder disease between 2014 and 2019 were analyzed. The patients were divided into 2 groups according to the use of a 3-port or a 4-port method, and the intraoperative complications of the groups were compared. Results: A total of 400 patient files were reviewed and the only significant difference between the 2 groups among the parameters of age, gender, and weight was the female-male ratio. Of the 3-port cases, 13.5% were male, and 86.5% were female. Of the 4-port cases, 23.5% were male and 76.5% were female (p=0.010). A significant difference was not seen between the 2 groups with respect to the mean operation time (p=0.548) or operation success (p=0.253). The average hospitalization period was longer in the 3-port group (1.98 days vs 1.18 days, respectively; p<0.001). No significant difference was found in the number of intraoperative complications: gallbladder perforation (p=0.215), liver laver hemorrhage (p=0.481), entry of the gallstone into the abdomen (p=0.760), and choledoch injury (p=0.522). Conclusion: The success rate of a laparoscopic cholecystectomy was similar in the 3-port and 4-port groups. The mean length of hospitalization was longer in the 3-port group compared with the 4-port group. Analysis suggested that the greater number of intraoperative complications in the 3-port group had an effect on the hospitalization period. There were no instances of further complications developing after the 3-port procedure.

show abstract

Section: Introductionmentioning

confidence: 99%

Three-port versus standard four-port laparoscopic cholecystectomy: a clinical trial

Akay¹

2020

Laparosc Endosc Surg Sci

View full text Add to dashboard Cite

show abstract

“…Erken dönemde hastaların erken ayağa kalkma geç dönemde gelişebilecek fiziksel ve psikososyal sorunların önlenmesinde önemli rol oynamaktadır. 4,5 Erken ayağa kalkma; yatan hastaların normal uygulamalarına göre daha erken mobilizasyonun yapılıp kısa süre hastanede kalmasını sağlamak olarak tanımlanmıştır. 6 Erken ayağa kalkma; erken ekstübasyon ve yoğun bakımda kalış süresinin azaltılması ile birlikte, hastanede kalış süresinin kısalmasını hedefleyen "fast-track" cerrahi zincirin bir halkasıdır.…”

unclassified

Investigation of the Factors Affecting the Standing Conditions of Patients After Surgery

Mahmudova¹,

Dönmez²

2019

Turkiye Klinikleri J Nurs Sci

View full text Add to dashboard Cite

Kolesistektomi ameliyatı sonrası hastaların ayağa kalkma durumlarını etkileyen faktörlerin incelenmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Tanımlayıcı ve kesitsel tipte olan bu çalışma, bir devlet hastanesinin genel cerrahi kliniğinde yatan açık veya laparoskopik yöntemle kolesistektomi ameliyatı olan 206 hasta ile gerçekleştirilmiştir. Örnekleme dâhil edilen hastalara, araştırmacılar tarafından literatür doğrultusunda oluşturulan "Hasta tanıtım formu" ve 38 sorudan oluşan "Ameliyat sonrası hastaların ayağa kalkma durumlarına yönelik soru formu" yüz yüze görüşme yöntemi ile uygulandı. B Bu ul lg gu ul la ar r: : Çalışma kapsamına alınan hastaların yaş ortalaması 51,34±12,56 yıl ve %51,0'ının kadın olduğu saptandı. Hastaların %79,6'sının laparoskopik kolesistektomi ameliyatı olduğu, %61,7'sinin 31-60 dk arasında ameliyatının sürdüğü ve %96,6'sının 0-12 saat arasında yoğun bakımda kaldığı belirlendi. Hastaların ameliyat sonrası ilk ayağa kalkma zamanının 3-26 saat arasında ve ortalama 8,94±3,24 saat olduğu, ilk ayağa kalkma süresinin 5 ile 20 dk arasında ve ortalama 5,97±2,26 dk olduğu, hastanede en kısa kalış süresinin 1,87±0,59 gün olduğu bulundu. Hastaların ayağa kalkma öncesi ve sonrası yaşam bulguları arasında istatistiksel olarak anlamlı fark olduğu saptandı. Araştırma kapsamına alınan hastaların, ilk ayağa kalkma ile ağrı ve bulantı durumu arasında istatistiksel olarak anlamlı ilişki belirlenmedi. S So on nu uç ç: : Kolesistektomi ameliyatı geçiren hastalarda ameliyat sonrası ayağa kalkma öncesi ve yaşam bulguları arasında istatistiksel olarak fark olduğu saptandı. Araştırma kapsamına alınan gruplar arasında, ilk ayağa kalkma zamanı ile ağrı durumu, ameliyat tipi, bulantı durumu arasında istatistiksel olarak anlamlı fark belirlenmedi. A An na ah ht ta ar r K Ke el li im me el le er r: : Kolesistektomi; ameliyat sonrası dönem; erken ayağa kalkma A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to investigate the factors affecting the patients' stand up after cholecystectomy surgery. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This descriptive and crosssectional study was conducted with 206 patients who underwent open or laparoscopic cholecystectomy surgery in the general surgery clinic of a state hospital. The patients included in the sampling were applied by face-to-face interview method, "Patient presentation form" prepared by the researchers in the direction of the literature and "Questionnaire on the standing conditions of patients after surgery" which is consist of 38 questions. R Re es su ul lt ts s: : The average age of the patients included in the study is 51.34±12.56, 51.0% are women. Of the patients, 79.6% had undergone laparoscopic cholecystectomy, 61.7% had undergone surgery between 31-60 minutes. The average time for the patients to get up to the first leg was 8.94±3.24 hours, the mean time to lift to the first leg was 5-20 minutes, the mean was 5.97±2.26 minutes and the shortest duration was 1.87±0.59 days found. It was found...

show abstract

Is It Safe to Perform Laparoscopic Cholecystectomy and Transabdominal Preperitoneal Hernia Repair Simultaneously?

Akay

ÇALTA

2023

Genel Tıp Dergisi

View full text Add to dashboard Cite

Abstract Background/Aims: Cholecystectomy and inguinal hernia repair are the most common operations in general surgery. With the laparoscopic approach, the risk of postoperative pain and infection is lower, patients can return to their daily activities in a shorter time, and the cosmetic appearance is better. However, surgical procedures in which laparoscopic cholecystectomy and transabdominal preperitoneal hernia repair (TAPP) are performed simultaneously are limited. The safety of this procedure is questioned in this article. Methods: The records of 38 patients who had undergone simultaneous laparoscopic cholecystectomy and TAPP were retrospectively reviewed, and patient demographic characteristics, indications for surgery, parameters associated with surgery, and postoperative complications were elicited. Results: The mean age of the patients was 48 ± 6.7 years, the youngest patient was 32 years old, and the oldest patient was 68 years old. The average operation time of the patients was 124 ± 26 minutes, and the average postoperative hospital stay was 2.1 ± 0.4 days. As for intraoperative complications, bleeding due to a double cystic artery in one patient, and perforation of the gallbladder in one patient were observed. In the postoperative period, one patient was found to have a seroma in the hernia area (in the patient with gallbladder perforation), and one patient had a recurrence in the hernia area in the late phase. Conclusions: Our study demonstrated that laparoscopic cholecystectomy and TAPP surgery could be safely performed simultaneously. The results of our study also include that prioritizing cholecystectomy does not increase the mesh infection rate.

show abstract

Effects of patients with three port laparoscopic cholecystectomy

Cited by 3 publications

References 6 publications

Three-port versus standard four-port laparoscopic cholecystectomy: a clinical trial

Three-port versus standard four-port laparoscopic cholecystectomy: a clinical trial

Investigation of the Factors Affecting the Standing Conditions of Patients After Surgery

Is It Safe to Perform Laparoscopic Cholecystectomy and Transabdominal Preperitoneal Hernia Repair Simultaneously?

Contact Info

Product

Resources

About