Single-Incision Laparoscopic Cholecystectomy: A Surgeon’s Initial Experience with 56 Consecutive Cases and a Review of the Literature

Roberts, Kurt E.; Solomon, Daniel; Duffy, Andrew; Bell, Robert L.

doi:10.1007/s11605-009-1116-z

Cited by 118 publications

(103 citation statements)

References 7 publications

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“…Moreover, with advances in equipment's and energy sources industry, control of cystic duct and artery have also been revolutionized from tools like metallic clips and knotting to harmonic scalpel and plasmakinetics. [1][2][3][4] Metallic clip is the most commonly used method for cystic artery and duct closure all over the world. 12 However, metallic clips are not free from complications.…”

Section: Resultsmentioning

confidence: 99%

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Triple ligation technique of clipless laparoscopic cholecystectomy: a spanner especially for complicated cholecystitis

Mukesh¹,

Sangwan²,

Mohinder³

et al. 2017

Int J Adv Med

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NTRODUCTIONThe conception of laparoscopy has revolutionized the art of surgery due to its vantages over classical open technique.The lately innovated laparoscopy cholecystectomy has been drastically refined over the years by better exploration of ergonomics, instauration of new energy sources and endo suturing. The conventional four ports access technique has been modified to three ports, two ports and single incision laparoscopic surgery with corresponding results. [1][2][3] Further cystic duct closure methods like clipping, harmonic scalpel, plasma kinetic and intra corporeal ligation have been tried with gratifying results. 4Metallic clip is the most commonly used method for cystic artery and duct closure which may be due to ease of learning and its execution, short operative time and timetested safety of technique. Although it is not less than a boon for a budding surgeon but it is not free from complications. Bile leaks, migration of clip, inadvertently clipping of common bile duct and right hepatic artery have ABSTRACT Background: Although in the era of laparoscopic cholecystectomy cystic duct occlusion has been tried by clips, harmonic and plasma kinetic quite effectively but cost, availability and inadvertent injury to biliary duct are concerning factors. Intra-corporeal ligation has evolved to address these issues effectively as a boon especially for the peripheral centres where availability and cost of energy sources weighs heavier than their associated ease. Triple ligation technique is a time preserving modification without any compromise in safety and quality of surgery. The aim of our study is not only to elucidate the importance of intra-corporeal ligation in safety and cost of surgery but also to enlighten its role in safe management of even difficult cases of cholecystitis. Methods: A retrospective observational study. All cases of symptomatic gallstones operated by laparoscopic triple ligation technique were included in the study. Results: More than half (63.4%) of the cases in our study were having chronic cholecystitis was reported in 63.4% of the cases while 36.4 % cases have acute cholecystitis. Mean duration of surgery was 46.4 and 71.2 minutes in chronic and acute cases respectively. No case of bile duct or vascular injury has been reported in our study. Only 3.8% of the cases were converted to open. Gallbladder perforation was most common complication noted in 12.8% of the cases. Conclusions: Triple ligation technique of laparoscopic cholecystectomy is not only a time sparing modification but is also a veritable, safe and frugal tool with excellent results even in complicated cholecystitis without compromising its outcome and prime.

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Section: Resultsmentioning

confidence: 99%

“…The conventional four ports access technique has been modified to three ports, two ports and single incision laparoscopic surgery with corresponding results. [1][2][3] Further cystic duct closure methods like clipping, harmonic scalpel, plasma kinetic and intra corporeal ligation have been tried with gratifying results. …”

mentioning

confidence: 99%

Triple ligation technique of clipless laparoscopic cholecystectomy: a spanner especially for complicated cholecystitis

Mukesh¹,

Sangwan²,

Mohinder³

et al. 2017

Int J Adv Med

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“…SILC provides surgeons with an alternative minimally invasive surgical option and to hide the surgical scar within the umbilicus [26].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Single Incision versus Conventional Four Ports Laparoscopic Cholecystectomy

Hajong¹

2016

JCDR

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“…Algunos autores refi eren hospitalizaciones de 24 ho-ras 13,14,19,23,[26][27][28][29][30] , y otros comunican entre 1,5 y 2,5 días de estadía 15,28,[31][32][33] . Encontramos autores con hospitalizaciones menores a un día 22,24,34,35 . También se reporta mayor tiempo de hospitalización (3 a 5 días) asociado a casos complicados 11,13,36 .…”

Section: Discussionunclassified

“…Otra complicación precoz que tuvimos es una bilirragia postoperatoria por conducto de Luschka, manejado conservadoramente sólo con drenaje y que se resuelve al quinto día postoperatorio. En la literatura se mencionan fístulas biliares por fi ltración del conducto cístico o por conductos de Luschka que se resuelven con drenaje o por intervención endoscópica 10,12,17,24,29,32,35,37 . Nuestra tercera complicación fue más tardía, detectada cuatro meses después de la cirugía y consistió en la aparición de una estenosis benigna de la vía biliar, posiblemente de causa térmica originando cicatrización retráctil.…”

Section: Discussionunclassified

Colecistectomía laparoscópica por puerto umbilical asistido

Solano¹,

2012

Rev Chil Cir

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Transumbilical laparoscopic cholecystectomy assisted with a second port. Experience in 60 patientsBackground: Transumbilical laparoscopic surgery offers substantial esthetic benefi ts. The use of a second port to introduce a second trocar, reduces the need of special or articulated instruments. Aim: To report the experience with transumbilical cholecystectomy, assisted using a second port, to reduce technical complexity. Patients and Methods: The surgical technique was prospectively evaluated in 60 patients aged 18 to 77 years (39 women), that required a cholecystectomy. All had a surgical risk classifi ed according to the American Society of Anesthesiologists (ASA) as I or II. Patients with gallbladder cancer, choledocholithiasis, were excluded. Two trocar (10 and 5 mm) were introduced by transumbilical incision and other one 5 mm trocar was introduced in the right iliac fossa for 0° frontal optics. Results: The mean operative time was 72 minutes (range 35-165). Fifty seven patients had a 24 h hospital stay. Two patients had to be converted to open surgery due to a complex pedicle dissection and one patient required an additional trocar. There were three complications. An umbilical seroma, a bile leakage through a Luschka duct, that was managed conservatively and one bile tract stenosis, that appeared four months after the operation and required surgical repair. Conclusions: Transumbilical cholecystectomy using a second additional port was a successful procedure, with similar esthetic results as single port surgery, but less costly.

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Single-Incision Laparoscopic Cholecystectomy: A Surgeon’s Initial Experience with 56 Consecutive Cases and a Review of the Literature

Cited by 118 publications

References 7 publications

Triple ligation technique of clipless laparoscopic cholecystectomy: a spanner especially for complicated cholecystitis

Triple ligation technique of clipless laparoscopic cholecystectomy: a spanner especially for complicated cholecystitis

A Comparative Study of Single Incision versus Conventional Four Ports Laparoscopic Cholecystectomy

Colecistectomía laparoscópica por puerto umbilical asistido

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