Junpei Suzuki, Nobumi Tagaya, Horoshi Kusaba, Yuichi Obana, Yuhei Nakano, Masako Mizoguchi, Yukino Yoshimura, Takashi Arai, Yako Hasegawa, Junichi Suzuki, Tomoki Kido, Koji Matsushita, Nobuhisa Teranishi, Toshifumi Arai, Tetsuya Kurosaki, Masayuki Hatanaka. Itabashi Chuo General Hospital
Introduction: Single-incision laparoscopic cholecystectomy (SILC) has become a treatment of choice for symptom gallbladder diseases. However, its indication is still limited to uncomplicated cases. We investigated the feasibility and safety of SILC for the patients with previous upper abdominal surgery.
Patients and Methods: Recent five years we performed SILC in 307 patients with various gallbladder diseases. The patients were classified into 2 groups: Group1, patients with a prior history of upper abdominal surgery (n=14); Group 2, patients without any risk factors including acute cholecystitis or morbid obesity (n=247). The data were analyzed in age, conversion rate, operation time, blood loss, postoperative complication, and postoperative hospital stay.
Results: There were no significant differences between PUAS and UC in gender (M:F) (10 : 4 and 116 : 131, p=0.075), BMI (kg/m2) (24.4 : 23.9, p=0.717), blood loss (ml) (8.1 : 7.7, p=0.954) and postoperative hospital stay (day) (3.5 : 3.2, p=0.282). Mean age (years) (66.0 and 56.5: p=0.004) and operation time (min) of PUAS and UC (115.0 and 84.8; p=0.003) were significant factors. There was no conversion to open laparotomy in both groups. Additional ports were inserted one case (7.1%) in PUAS and 11 cases (4.5%) in UC (p=0.642). Postoperative bile leakage was seen one case in UC, and it showed spontaneous remission.
Conclusion: Previous upper abdominal surgery is not a contraindication to perform a safe SILC, however, previous upper abdominal surgery is associated with a prolonged operation time.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93851
Program Number: P244
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster