Shuichi Iwahashi, Mitsuo Shimada, Satoru Imura, Yuji Morine, Tetsuya Ikemoto, Yu Saito, Masato Yoshikawa. Department of Surgery, Tokushima University
Introduction: Laparoscopic cholecystectomy (Lap-C) is the standard operation for the benign diseases, such as cholecystolithiasis, adenomyomatosis and gallbladder polyp. Single-incision laparoscopic cholecystectomy (SILS-C) contains the difficult techniques for the young surgeons. Therefore, we examined the utility of reduced-port Lap-C (RPL-C) using the needlescopic surgery for young surgeons.
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 (RPL-C).
Methods: RPL-C has been introduced in this department since July, 2009. We performed 109 cases of Lap-C, containing SILS-C and American style conventional Lap-C, and we performed RPL-C has been performed already 54 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=5.6±1.6 days:6.6±4.6 days:6.8±5.0 days)and the amount of blood loss (RPL-C:SILS-C:conventional Lap-C=9±2ml:9±2ml:10±5ml) and operation time (RPL-C:SILS-C:conventional Lap-C=117±40 min:120±36 min:115±42 min). And surgical wound after RPL-C was cosmetically acceptable.
Conclusion: Reduced port Lap-C is safely for young surgeons and comparable method to SILS-C and conventional Lap-C.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79429
Program Number: P101
Presentation Session: Poster (Non CME)
Presentation Type: Poster