• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Difficulty Assessment for Single-incision Laparoscopic Surgery for Splenic Diseases.

Masataka Ikeda, MD, Takuya Hamakawa, MD, Sakae Maeda, MD, Mamoru Uemura, MD, Masakazu Miyake, MD, Naoki Hama, Kazuhiro Nishikawa, Atsushi Miyamoto, MD, Michihiko Miyazaki, MD, Motohiro Hirao, MD, Shoji Nakamori, MD, Mitsugu Sekimoto, MD. Osaka National Hospital

Backgrounds: Laparoscopic splenectomy is now a standard choice of treatment for patients for splenectomy. Recent developments of surgical technique and instruments enabled us to perform splenectomy through a single umbilical incision for the purpose of less invasiveness and better cosmetic outcome. The purpose of this study was to evaluate the feasibility and predict the difficulty of single incision laparoscopic splenectomy (SILS) by comparison of conventional multiport laparoscopic splenectomy (MPLS).

Patients and methods: Forty-six patients between November 2009 and June 2016 were included, 18 had ABO incompatible kidney transplantation, 12 had ITP, 6 had splenic tumors, 4 had splenic malignant lymphoma, 3 had splenomegaly and hypersplenism, 2 had splenic artery aneurysm, and one had hereditary spherocytosis. Operative factors and post-operative complications in the two groups were compared.

Results: The male/female ratio was 9/19 in the SILS group, and 9/9 in the MPLS group. The median age was 44 in the SILS group and 50.5 in the MPLS group. The median body mass index (BMI) was significantly smaller in the SILS group (21.3 vs 24.4 kg/m2). The median operative time and estimated blood loss were similar between the two groups, 133.5 min and 30 ml in the SILS group and 120 min and 10 ml in the MPLS group, respectively. The median weight of resected spleen was similar (205g in the SILS group and 255g in the MPLS group). There were no mortalities in all 46 patients. In the MPLS group, there were 4 patients with portal or splenic vein thrombosis (PSVT) detected by routine postoperative CT scan. In the SILS group, we found 4 patients with PSVT, 3 with postoperative bleeding, and only one of 3 patients required transfusion. There were 1 conversion to hand assisted laparoscopic surgery in the MPLS group, and 1 conversion to open surgery in the SILS group due to bleeding. Additional ports were required in 8 patients in the SILS group because of bleeding in 2 and insufficient view for safe operation in 6. Height, body weight, BMI, and spleen weight were similar between patients with and without additional ports. Operative time and blood loss were significantly greater in patients with additional ports (172 min vs 119 min, 190 ml vs 10 ml).

Conclusions: In selected patients, SILS is safe and feasible. We should not hesitate to place additional port for safe operation, as operational difficulty could not be predicted preoperatively.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78785

Program Number: P603

Presentation Session: Poster (Non CME)

Presentation Type: Poster

38

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2017 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons