지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술대회자료
- 저자정보
- 발행연도
- 2021.5
- 수록면
- 300 - 303 (4page)
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Purpose
To introduce our surgical method for single incision laparoscopic cholecystectomy (SILC) and report surgical outcomes over 10 years.
Methods
Patients who underwent SILC at single institution between April 2010 and December 2019 were included. We analyzed the patient’s demographics and surgical outcomes according to the surgical method; Phase 1 (Konyang standard method, KSM): initial 3-channel SILC, Phase 2 (modified KSM, mKSM): 4-channel SILC with a snake retractor, Phase 3 (commercial mKSM, C-mKSM): using a commercial 4-channel (Glove) port.
Results
Among 1372 patients (mean age, 51.3 years; 781 women [56.9%]), 418 (30.5%) were for acute cholecystitis (AC), 33 (2.4%) converted to multiport or open cholecystectomy, and 49 (3.6%) developed postoperative complication. The mean operation time (OT) and length of postoperative hospital stay (LOS) were 51.9 minutes and 2.6 days, respectively. 325 underwent SILC with the KSM, 660 with the mKSM, 387 with the C-mKSM. In C-mKSM group, the number of patients with AC was the lowest (26.8 vs 38.2 vs 20.4%, p<0.001) and OT (51.7 vs 55.4 vs 46.1 minutes, p<0.001), estimated blood loss (EBL) (24.5 vs 15.5 vs 6.1 mL, p<0.001), LOS (2.8 vs 2.5 vs2.3 days, p=0.001) were significantly improved. The surgical outcomes were better in non-AC group than in AC group, in terms of operative time (58.9 vs 48.8 minutes, p<0.001), conversion rate (5.7 vs 0.9%, p<0.001), and postoperative overall complication (6.5 vs 2.3%, p<0.001).
Conclusion
Based on our 10 years of experience, mKSM is a safe and feasible method of SILC in selected patients.
To introduce our surgical method for single incision laparoscopic cholecystectomy (SILC) and report surgical outcomes over 10 years.
Methods
Patients who underwent SILC at single institution between April 2010 and December 2019 were included. We analyzed the patient’s demographics and surgical outcomes according to the surgical method; Phase 1 (Konyang standard method, KSM): initial 3-channel SILC, Phase 2 (modified KSM, mKSM): 4-channel SILC with a snake retractor, Phase 3 (commercial mKSM, C-mKSM): using a commercial 4-channel (Glove) port.
Results
Among 1372 patients (mean age, 51.3 years; 781 women [56.9%]), 418 (30.5%) were for acute cholecystitis (AC), 33 (2.4%) converted to multiport or open cholecystectomy, and 49 (3.6%) developed postoperative complication. The mean operation time (OT) and length of postoperative hospital stay (LOS) were 51.9 minutes and 2.6 days, respectively. 325 underwent SILC with the KSM, 660 with the mKSM, 387 with the C-mKSM. In C-mKSM group, the number of patients with AC was the lowest (26.8 vs 38.2 vs 20.4%, p<0.001) and OT (51.7 vs 55.4 vs 46.1 minutes, p<0.001), estimated blood loss (EBL) (24.5 vs 15.5 vs 6.1 mL, p<0.001), LOS (2.8 vs 2.5 vs2.3 days, p=0.001) were significantly improved. The surgical outcomes were better in non-AC group than in AC group, in terms of operative time (58.9 vs 48.8 minutes, p<0.001), conversion rate (5.7 vs 0.9%, p<0.001), and postoperative overall complication (6.5 vs 2.3%, p<0.001).
Conclusion
Based on our 10 years of experience, mKSM is a safe and feasible method of SILC in selected patients.
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