J Minim Invasive Surg.  2017 Jun;20(2):63-68. 10.7602/jmis.2017.20.2.63.

Single Incision Laparoscopic Cholecystectomy without a Camera Operator

• Choi Y
• Han HS
• Yoon YS
• Cho JY
• Jang JY
• Choi HL
• Jang JS
• Kwon SU
• Kim S
• Choi J

• KMID: 2389139
• DOI: http://doi.org/10.7602/jmis.2017.20.2.63

Abstract

PURPOSE
This study aimed to evaluate the implementation of solo surgery using a laparoscopic scope holder for single incision laparoscopic cholecystectomy (SILC).
METHODS
With a glove port and a flexible high-definition scope, SILC was performed through a single trans-umbilical incisional site with CO2 pneumoperitoneum at a pressure of 12 mmHg. Fifty-eight patients who underwent solo SILC using a scope holder (Solo-SILC) were compared to 15 patients who underwent camera operator-assisted SILC (Ca-SILC) in terms of intraoperative and postoperative outcomes.
RESULTS
The mean BMI and operation time were 23.0±3.6 kg/m² and 64.4±16.6 min in Ca-SILC and 25.0±3.8 kg/m² and 58.2±27.1 min in Solo-SILC, respectively (p=0.067 and p=0.410). Estimated blood loss was negligible and an additional assistant port was not required in either groups. A case of gallbladder perforation and bile leak was noted in the Ca-SILC group, and 13 cases of bile leak in the Solo-SILC group, with no significant differences (p=0.167) during the surgery. Postoperative outcomes including surgical complications, diet restriction, diarrhea and hospital stay were not significantly different except for shoulder pain (p<0.001).
CONCLUSION
Even with the limitations of a small number of patients, Solo-SILC proved to be a feasible technique. To confirm the safety of solo-SILC, further studies with a larger sample size are required.

Keyword

Laparoscopic cholecystectomy; Surgical wound; Minimally invasive surgical procedures

MeSH Terms

Bile
Cholecystectomy, Laparoscopic*
Diarrhea
Diet
Gallbladder
Humans
Length of Stay
Minimally Invasive Surgical Procedures
Pneumoperitoneum
Sample Size
Shoulder Pain