Long-term and short-term surgical outcomes of single-incision laparoscopic hepatectomy on anterolateral liver segments

Tsai, Kuei-Yen; Chen, Hsin An; Wang, Wan Yu; Huang, Ming Te

doi:10.1007/s00464-019-07080-7

Cited by 12 publications

(22 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The aim of underlying study was to evaluate the results of single Slovenian centre performing SPLH, the method that can, in our opinion, be safely used for the treatment of benign and malignant liver lesions in selected patients. Some retrospective studies, comparing single-port versus multiport laparoscopic hepatectomy (MPLH), have already been performed [18][19][20]22]. The number of the included patients undergoing SPLH was generally small, ranging from just a few patients to 155 patients [18][19][20][21][22].…”

Section: Discussionmentioning

confidence: 99%

“…With the progress of technology, surgical technique and skills, laparoscopic and robotic liver surgery have, in the recent years, become safe and effective modality for the treatment of both benign and malignant liver disease [4]. With the further progression of the minimally invasive surgery, the aim is to minimize the number and size of the abdominal incisions, therefore single-port laparoscopic hepatectomy (SPLH) has been arising as a new surgical method for the treatment of liver disease with the promising results from the published reports [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Single-port laparoscopic hepatectomy: Slovenian single center experience

Trotovšek

Đokić

2022

Preprint

View full text Add to dashboard Cite

Background: Single-port laparoscopic hepatectomy is a minimally invasive modality for the treatment of the benign and malignant liver lesions. Due to the methods technical challenges it is suitable for experienced hepatobilliary surgeons in selected group of patients. The aim of this study was to evaluate the results of a single Slovenian centre performing single-port laparoscopic hepatectomy with literature overview.Methods: A single centre retrospective consecutive case series of the thirteen patients with liver disease operated with the single-port technique form January 2018 to April 2022 at the Department of the Abdominal Surgery in the University Medical Centre Ljubljana was performed. Lesions were located in the easy to treat segments. The operative time, conversion rate, length of the hospital stay and surgical complications were recorded and evaluated.Results: We performed thirteen single-port liver hepatectomies (median age 60, range 31 to 79 years). Mean operative time was 98 ± 37 min. None of the cases was converted to multi-port laparoscopic or open surgery. Safe resection margins were obtained in case of malignant disease. The mean hospital stay was 4 days. Post-operative complication involving intervention was 7% (1/13). No life-threatening surgical complication or morbidity were noted.Conclusions: The single-port laparoscopic hepatectomy is a safe and feasible technique for the operation of benign and malignant liver lesions in hands of skilled and well trained surgeons.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Single-port laparoscopic hepatectomy: Slovenian single center experience

Trotovšek

Đokić

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Moreover, the standardized RPLLLS technique’s surgical results, such as blood loss and morbidity rate, are not inferior; rather, they are preferable to those cited in previous reports on single-port LLLS [ 11 , 21 , 24 , 25 ]. However, operative time was relatively long compared to some single-incision LLLS studies [ 21 , 22 , 26 , 27 ]. Two factors may explain the relatively long operation times in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Only one study reported the percentage of a history of previous abdominal surgery, and it was significantly lower: 12.8% for conventional LLLS and 18.2% for single-port LLLS [ 27 ]. Other studies did not report the percentage of a history of previous abdominal surgery [ 21 , 22 , 26 ]. When focusing on operative time, these points need to be considered.…”

Section: Discussionmentioning

confidence: 99%

Standardized single-incision plus one-port laparoscopic left lateral sectionectomy: a safe alternative to the conventional procedure

Katagiri

Nitta

Takahara

et al. 2021

Langenbecks Arch Surg

View full text Add to dashboard Cite

Purpose Laparoscopic left lateral sectionectomy (LLLS) is a feasible and safe procedure with a relatively smooth learning curve. However, single-incision LLLS requires extensive surgical experience and advanced techniques. The aim of this study is to report the standardized single-incision plus one-port LLLS (reduced port LLLS, RPLLLS) technique and evaluate its safety, feasibility, and effectiveness for junior surgeons. Methods Between January 2008 and November 2020, the clinical records of 49 patients who underwent LLLS, divided into the conventional LLLS (n = 37) and the RPLLLS group (n = 12), were retrospectively reviewed. The patient characteristics, pathologic results, and operative outcomes were evaluated. Results A history of previous abdominal surgery in the RPLLLS group was significantly high (56.8% vs. 91.7%, p = 0.552). Notably, junior surgeons performed 62.2% of the conventional LLLSs and 58.4% of the standardized RPLLLSs. There were no significant differences between the two groups in terms of median operative time (121.0 vs. 113.5, p = 0.387), median blood loss (13.0 vs. 8.5, p = 0.518), median length of hospital stays (7.0 vs. 7.0, p = 0.408), and morbidity rate (2.7% vs. 0%, p = 0.565), respectively. Conclusion This standardized RPLLLS is a feasible and safe alternative to conventional LLLS and may become the ideal training procedure for both junior surgeons and surgeons aiming to learn more complex procedures.

show abstract

“…At present, most domestic and foreign studies on laparoendoscopic single-site surgery are based on the comparison between traditional laparoscopy surgery and laparoendoscopic single-site surgery. LESS is widely used in various surgical disciplines [10][11][12], and some studies have shown that LESS has the advantages of alleviating postoperative pain, shortening average hospital stays and better cosmetic effect compared with traditional laparoscopy [13,14]. However, some studies suggested that traditional LESS has no obvious advantages compared with traditional laparoscopy [6,7].…”

Section: Discussionmentioning

confidence: 99%

Clinical Comparison of 5mm Mini-incision Laparoendoscopic Single-Site Hysterectomy and Traditional Laparoendoscopic Single-Site Hysterectomy

Cao¹,

Sun²,

Chen³

et al. 2021

JGO

View full text Add to dashboard Cite

Objective: To investigate the feasibility of 5mm mini-•incision Laparoendoscopic Single-Site hysterectomy and Laparoendoscopic Single-Site hysterectomy in terms of safety, postoperative pain and cosmetic effect. Methods: The medical records of 19 patients who underwent hysterectomy with 5mm mini-•incision Laparoendoscopic Single-Site Surgery (LESS) or traditional Laparoendoscopic Single-Site Sugery in the Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University from December 2017 to June 2020 were retrospectively analyzed, including 6 cases in the group of 5mm mini-•incision Laparoendoscopic Single-Site hysterectomy through umbilical ordinary incision (5mm) and 13 cases in the group of traditional Laparoendoscopic Single-Site hysterectomy through umbilical ordinary incision (1.5cm-3cm). Collect and compare the intraoperative blood loss, the operative time, the postoperative hemoglobin descender, the postoperative hospital stays, the probability of postoperative wound infection, the total cost, Visual analogue scale (VAS) of 12 hours after surgery, VAS of 24 hours after surgery and postoperative Body Image Questionnaire (BIQ, including Body Image scale, BIS and Cosmetic Score, CS) in the two groups. Results: There was no intraoperative complication happened, and there was no significant difference between the two groups in the forms of the intraoperative blood loss, operative time, postoperative hospital stays, postoperative hemoglobin descender, the probability of postoperative wound infection, the total cost, VAS of 24 hours after surgery and CS (P > 0.05). But the VAS of 12 hours after surgery of the 5mm mini-•incision Laparoendoscopic Single-Site hysterectomy was lower than traditional Laparoendoscopic Single-Site hysterectomy (1.17±0.14 vs. 2.33±0.19), the BIS of the former was higher than the later (19.83±0.15 vs 19.16±0.28), and importantly the difference was statistically significant (P < 0.05). Conclusion: Laparoendoscopic Single-Site through 5mm mini-incision is safe and feasible. Compared with traditional Laparoendoscopic Single-Site Hysterectomy through ordinary incision, it can not only significantly reduce postoperative pain, but also bring more satisfactory postoperative cosmetic effect.

show abstract

Long-term and short-term surgical outcomes of single-incision laparoscopic hepatectomy on anterolateral liver segments

Cited by 12 publications

References 22 publications

Single-port laparoscopic hepatectomy: Slovenian single center experience

Single-port laparoscopic hepatectomy: Slovenian single center experience

Standardized single-incision plus one-port laparoscopic left lateral sectionectomy: a safe alternative to the conventional procedure

Clinical Comparison of 5mm Mini-incision Laparoendoscopic Single-Site Hysterectomy and Traditional Laparoendoscopic Single-Site Hysterectomy

Contact Info

Product

Resources

About