Single-Incision Laparoscopic Cholecystectomy and Overweight Patients

Yılmaz, Hüseyin; Alptekın, Husnu; Acar, Fahrettin; Çalışır, Akın; Şahi̇n, Mustafa

doi:10.1007/s11695-013-1041-9

Cited by 12 publications

(14 citation statements)

References 32 publications

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“…29,30 Our study failed to identify BMI as an adverse prognostic factor in the analysis of conversion and complication. The small number (23,11.5%) of obese patients (BMI .30 kg/m 2 ) in this study may be responsible for the statistical insignificance.…”

Section: Commentsmentioning

confidence: 76%

Is routine single-incision laparoscopic cholecystectomy feasible? A retrospective observational study

Chuang

Yang

Chang

et al. 2015

The American Journal of Surgery

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Section: Commentsmentioning

confidence: 76%

Is routine single-incision laparoscopic cholecystectomy feasible? A retrospective observational study

Chuang

Yang

Chang

et al. 2015

The American Journal of Surgery

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“…However, there seems to be varying degrees of difficulty in individual cases. In previous studies, height and BMI were reported as predictive factors for difficult SILC cases , with patients with a higher BMI or taller height had longer operative times. These effects are believed to be due to the longer distance to the target organ .…”

Section: Discussionmentioning

confidence: 93%

“…Previous papers have reported that BMI and height are predictive factors for prolonged operative duration in SILC patients . BMI is also associated with prolonged operative duration in CLC .…”

Section: Introductionmentioning

confidence: 91%

Correlation between port‐to‐target distance and procedural difficulty in single‐incision laparoscopic cholecystectomy: An observational study

Ohira

Shibuya

Uemura

et al. 2018

Asian J Endoscop Surgery

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Introduction: Single-incision laparoscopic cholecystectomy (SILC) is more challenging than conventional (multiport) laparoscopic cholecystectomy (CLC) because of the increased likelihood of instrument collision and the limited surgical workspace. In SILC, procedural difficulties may increase when the port-to-target distance is long. We aimed to assess the correlation between port-to-target distance and procedural difficulty.Methods: Thirty-six consecutive patients who underwent SILC at our hospital were included in this study. The umbilicus-to-Calot's triangle distance (UCD) was measured intraoperatively. The correlations between the UCD and operative time were analyzed, and for comparison, CLC cases during the same period (n = 28) were similarly analyzed. Moreover, UCD was estimated from preoperative CT (UCD-CT), and the usefulness of UCD-CT was assessed during SILC and CLC.Results: Thirty-four patients successfully underwent SILC. There were positive correlations between the UCD and pneumoperitoneum time. Multivariate linear regression analysis, including BMI and height, which were previously reported to have a correlation with longer operative time in SILC, showed that UCD is an independent predictive factor for prolonged operative duration. However, BMI and height were not independent predictive factors. UCD and UCD-CT had a very strong positive correlation; therefore, UCD was estimated from CT. UCD-CT had a strong positive correlation with operative time in SILC, but not in CLC. Conclusions:A longer UCD is an important predictive factor for difficult cases of SILC, but this finding is not applicable in CLC. The usefulness of UCD is specific to SILC. Asian J Endosc Surg 12 (2019) 255-263 NA Data are n (%) or median (interquartile range). CLC, conventional laparoscopic cholecystectomy; LOS, length of hospital stay; NA, not applicable; SILC, single-incision laparoscopic cholecystectomy; UCD, umbilicus-to-Calot's triangle distance; UCD-CT, estimated UCD from preoperative CT.Figure 3 Scatterplots, linear regression models, and Spearman's rank correlation coefficients between UCD and factors of somatotype: (a) height; (b) weight; (c) BMI; and (d) UCD-CT. The gray area of each graph indicates the confidence region for the linear regression. UCD, umbilicus-to-Calot's triangle distance; UCD-CT, estimated UCD from preoperative CT.Figure 5 Scatterplots, linear regression models, and Spearman's rank correlation coefficients between UCD-CT and pneumoperitoneum time in SILC and CLC. The gray area of each graph indicates the confidence region for the linear regression. CLC, conventional laparoscopic cholecystectomy; SILC, single-incision laparoscopic cholecystectomy; UCD-CT, estimated umbilicus-to-Calot's triangle distance from preoperative CT.

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“…Seven patients (2.4%) had a trocar site hernia in our study, which is a comparable outcome with that of other studies. 19,20 All of these patients underwent hernia repair. In conclusion, transumbilical laparoscopic cholecystectomy can be performed in most patients with benign gallbladder The morbidity rates were not significantly different in whether cholecystitis or not in patients performed transumbilical laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Transumbilical Laparoscopic Cholecystectomy with Additional Port: A Single Surgeon’s Experience with 291 Cases

Hwang

Ryu

2015

J Minim Invasive Surg

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Purpose: Single-port laparoscopic cholecystectomy may result in postoperative complication in patients with cholecystitis. An additional right subcostal port could make laparoscopic surgery safe in these patients. We suggest the transumbilical laparoscopic cholecystectomy with additional port, which can be performed safely regardless of cholecystitis. Methods: Consecutive 291 patients underwent transumbilical laparoscopic cholecystectomy in theDepartment of Surgery by a single surgeon. We have usually used the globe port in the transumbilical area and an additional right subcostal port. Results:The mean operation time was 44.0±15.2 min (range: 20-140). The mean hospital stay after operation was 4.0±2.3 days (range: 1-9). Postoperative complications were umbilical hernia (n=7) and bile leakage (n=3). There was no in-hospital mortality. Conclusion:Transumbilical laparoscopic cholecystectomy can be performed in patients with most of benign gallbladder disease. And, an additional right subcostal port could be helpful in ensuring safe transumbilical laparoscopic cholecystectomy, even in patients with cholecystitis.

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Single-Incision Laparoscopic Cholecystectomy and Overweight Patients

Cited by 12 publications

References 32 publications

Is routine single-incision laparoscopic cholecystectomy feasible? A retrospective observational study

Is routine single-incision laparoscopic cholecystectomy feasible? A retrospective observational study

Correlation between port‐to‐target distance and procedural difficulty in single‐incision laparoscopic cholecystectomy: An observational study

Transumbilical Laparoscopic Cholecystectomy with Additional Port: A Single Surgeon’s Experience with 291 Cases

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