Shuichi Iwahashi, Mitsuo Shimada, Satoru Imura, Yuji Morine, Tetsuya Ikemoto, Yu Saito, Hiroki Teraoku. Department of Surgery, Tokushima University
Introduction: Laparoscopic cholecystectomy (Lap-C) is the standard operation for the benign diseases. We have reported reduced port Lap-C (RPL-C) was safely and comparable method to SILS-C and conventional Lap-C (SAGES 2017). In this time, we examined the utility of RPL-C containing the post-operative adverse event.
Procedures: The adjustment is the benign illness including the cholecystolithiasis, and advanced obesity and the cases of the inflammation remaining have been excluded. The incision is put and cut open the abdomen to the umbilical region, and camera port was inserted. We used 5mm flexible scope. 3mm forceps for holding of the gallbladder bottom and left hand of operator were inserted directly with no port.
Methods: RPL-C has been introduced in this department since July, 2009. We performed 224 cases of Lap-C, containing SILS-C and American style conventional Lap-C, and we performed RPL-C has been performed already 156 cases. We compared the patient background and the operation factor between RPL-C, SILS-C, conventional Lap-C. Operators were young surgeons, they were not specialists of gastroenterological surgery or endoscopic surgery.
Results: The difference was not admitted in the age, gender, the physique, and the disease, and the difference was not admitted in hospital stay after the operation (RPL-C:SILS-C:conventional Lap-C=5.3±0.2 days:5.5±0.2 days:6.7±1.0 days)and the amount of blood loss (RPL-C:SILS-C:conventional Lap-C=4.7±0.9ml:9.0±1.9ml:9.6±4.2ml) and operation time (RPL-C:SILS-C:conventional Lap-C=129±3 min:118±6 min:136±3 min). And surgical wound after RPL-C was cosmetically acceptable. Regarding as the post-operative adverse event, there were no patients of bile duct injury.
Conclusion: In the patients on reduced port Lap-C, there were no bile duct injuries of post-operative adverse event. Reduced port Lap-C is safely for young surgeons and comparable method.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87502
Program Number: P099
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster