The Learning Curve With Single-Port Cholecystectomy
نویسندگان
چکیده
OBJECTIVES Single-port surgery is a rapidly advancing technique in laparoscopic surgery. Currently, there is limited evidence on the learning curve and practicality of performing single-port laparoscopic cholecystectomy. METHODS Single-port cholecystectomy was performed on 20 consecutive patients for biliary dyskinesia, symptomatic cholelithiasis, or acute cholecystitis. The Tri-Port was placed in the umbilicus, and a combination of straight and articulating instruments were utilized. Patient characteristics and outcomes were reviewed, and a comparison was made with the prior 20 consecutive laparoscopic cholecystectomies performed using the 3-port technique. RESULTS Characteristics were similar in both groups. The 3-port cholecystectomy had a mean time of 65.7 minutes, and patients had an average body mass index of 28.16. The first single-port cholecystectomy took 160 minutes with sequential improvement to the sixth case of 66 minutes with a mean of 68.2 minutes for the last 15 single-port cases. The average patient body mass index was 30.24. No major complications occurred. CONCLUSION The largest series to date of single-port cholecystectomy for multiple degrees of biliary disease is presented. This study validates that this technique can be applied effectively and performed in comparable operative times to traditional 3-port cholecystectomy with a learning curve of approximately 5 cases.
منابع مشابه
Early experience in single-site laparoscopic cholecystectomy.
INTRODUCTION Laparoscopic cholecystectomy is currently the gold standard for removal of symptomatic gallbladders. The push in recent years toward reducing the number of ports required to perform this surgery has led to the development of single-incision laparoscopic cholecystectomy (SILC). We report our early experience with SILC and assess its feasibility and safety. METHODS A prospective st...
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119 Correspondence to: Young Hoon Roh, Department of Surgery, Dong-A University College of Medicine, 1, 3-ga, Dongdaesin-dong, Seo-gu, Busan 602-714, Korea. Tel: 051-240-2619, Fax: 051-247-9316, E-mail: [email protected] Received July 20, 2010, Accepted September 7, 2010 This work was supported by the Dong-A University research fund. The Learning Curve for Single-Port Laparoscopic Cholecystectomy...
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