• 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
      • 2024 Scientific Session Call For Abstracts
      • 2024 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
    • 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

IH rates at umbilical port in LC by single incision with SPIDER Surgical System is compararable to conventional multiport technique: One surgeon’s experience

Pedro E Garcia-Quintero, MD, Christian A Hernandez-Murcia, MD, Juan-Carlos Verdeja, MD, FACS. Baptist Health South Florida

Introduction: Single incision laparoscopic cholecystectomy (SILC) is emerging as an alternative to conventional laparoscopic cholecystectomy (CLC), offering satisfactory outcomes with improved aesthetic results. Other potential benefits are still being explored. A concern of every abdominal surgical intervention is the risk of subsequent incisional herniation. Incisional hernia (IH) rates are reported between 0.14% and 5.8% depending on the port site. Single site technique results in a larger incision at the umbilical port than CLC, and there are multiple operative techniques for SILC, including those via multi-trocar single incision, robotic single site and SPIDER systems. This study reviews a series of cholecystectomies performed by CLC (12mm trocar at umbilicus) and SPIDER (18mm incision at umbilicus) techniques by a single surgeon (J-CV) and reports on the incidence of IH identified in this patient population.

Material and Methods: Under Institutional Review Board (IRB) approval, medical records of patients that had a laparoscopic cholecystectomy by either CLC or SPIDER technique, between January, 2010 and September, 2013 were retrospectively reviewed. Follow-up ranged between 9 and 30 months. Selection criteria, demographics and outcomes, including incisional hernia were evaluated.

Results: A total of 698 cases were evaluated in this study, 366 by CLC and 332 by SPIDER system. Patients with existing primary umbilical or incisional herniation at the time of the cholecystectomy (86 cases) were excluded from this study, since their rate of re-herniation may be expected to be higher. No absolute contraindications were established for inclusion into either group. Experience gained after an initial 50 consecutive case use of the SPIDER, resulted in increased selectivity in its use. Evaluation of the demographics reveals that the SPIDER group was younger with proportionately more women, less obese patients and less ASA class 3-4. A higher rate of acute cholecystitis was observed in the CLC group, also. No hernias were reported in 279 SPIDER cases, yielding a 95% confidence interval, upper bound of 1.3% for the true IH rate. No IH were identified in 333 CLC cases, giving a 95% confidence interval, upper bound of 1.1% in this group.

Conclusion: The technique used in both approaches had excellent results with no incisional hernias observed in either group. There were identified differences in the composition of the two groups, therefore ongoing study is warranted. In selective use, the incidence of incisional hernia of SILC by the SPIDER system appears to be acceptable and similar to that of CLC.

70

Share this:

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

Related

« Return to SAGES 2015 abstract archive

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
sagesweb@sages.org
Monday - Friday
8am to 5pm Pacific Time

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