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Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve

BACKGROUNDS/AIMS: To describe the techniques, short-term outcomes, and learning curve of solo single-incision laparoscopic cholecystectomy (Solo-SILC) using a laparoscopic scope holder. METHODS: A total of 591 patients who underwent Solo-SILC from July 2014 to December 2016 performed by four experie...

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Autores principales: Lee, Boram, Suh, Suk-Won, Choi, YoungRok, Han, Ho-Seong, Yoon, Yoo-Seok, Cho, Jai Young, Kim, Kil Hwan, Hyun, In Gun, Han, Sun Jong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Association of Hepato-Biliary-Pancreatic Surgery 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6893057/
https://www.ncbi.nlm.nih.gov/pubmed/31825000
http://dx.doi.org/10.14701/ahbps.2019.23.4.344
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author Lee, Boram
Suh, Suk-Won
Choi, YoungRok
Han, Ho-Seong
Yoon, Yoo-Seok
Cho, Jai Young
Kim, Kil Hwan
Hyun, In Gun
Han, Sun Jong
author_facet Lee, Boram
Suh, Suk-Won
Choi, YoungRok
Han, Ho-Seong
Yoon, Yoo-Seok
Cho, Jai Young
Kim, Kil Hwan
Hyun, In Gun
Han, Sun Jong
author_sort Lee, Boram
collection PubMed
description BACKGROUNDS/AIMS: To describe the techniques, short-term outcomes, and learning curve of solo single-incision laparoscopic cholecystectomy (Solo-SILC) using a laparoscopic scope holder. METHODS: A total of 591 patients who underwent Solo-SILC from July 2014 to December 2016 performed by four experienced hepatobiliary surgeons were retrospectively assessed. Solo-SILC was performed using the parallel method using a scope holder. The moving average method was used to investigate the learning curve in terms of operative time. RESULTS: In total, 590 Solo-SILC procedures were performed. Very few procedures were converted to multi-port laparoscopic cholecystectomy. There was one case of bile duct injury. The mean operative time (59.93±25.77 min) was shorter than that in other studies of SILC. Three postoperative complications, delaying bile leakage, occurred in the patients treated by one surgeon. These cases were resolved by ultrasound-guided puncture and drainage. The learning curve for surgeons A, B, and C was overcome after 14, 12, and 12 cases. Surgeon D, who had the most experience with SILC, had no obvious learning curve. CONCLUSIONS: Hepatobiliary surgeons experienced in LC can perform Solo-SILC almost immediately. Solo-SILC using the parallel technique represents a more stable option and is a promising treatment for gallbladder disease.
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spelling pubmed-68930572019-12-10 Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve Lee, Boram Suh, Suk-Won Choi, YoungRok Han, Ho-Seong Yoon, Yoo-Seok Cho, Jai Young Kim, Kil Hwan Hyun, In Gun Han, Sun Jong Ann Hepatobiliary Pancreat Surg Original Article BACKGROUNDS/AIMS: To describe the techniques, short-term outcomes, and learning curve of solo single-incision laparoscopic cholecystectomy (Solo-SILC) using a laparoscopic scope holder. METHODS: A total of 591 patients who underwent Solo-SILC from July 2014 to December 2016 performed by four experienced hepatobiliary surgeons were retrospectively assessed. Solo-SILC was performed using the parallel method using a scope holder. The moving average method was used to investigate the learning curve in terms of operative time. RESULTS: In total, 590 Solo-SILC procedures were performed. Very few procedures were converted to multi-port laparoscopic cholecystectomy. There was one case of bile duct injury. The mean operative time (59.93±25.77 min) was shorter than that in other studies of SILC. Three postoperative complications, delaying bile leakage, occurred in the patients treated by one surgeon. These cases were resolved by ultrasound-guided puncture and drainage. The learning curve for surgeons A, B, and C was overcome after 14, 12, and 12 cases. Surgeon D, who had the most experience with SILC, had no obvious learning curve. CONCLUSIONS: Hepatobiliary surgeons experienced in LC can perform Solo-SILC almost immediately. Solo-SILC using the parallel technique represents a more stable option and is a promising treatment for gallbladder disease. Korean Association of Hepato-Biliary-Pancreatic Surgery 2019-11 2019-11-29 /pmc/articles/PMC6893057/ /pubmed/31825000 http://dx.doi.org/10.14701/ahbps.2019.23.4.344 Text en Copyright © 2019 by The Korean Association of Hepato-Biliary-Pancreatic Surgery http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Boram
Suh, Suk-Won
Choi, YoungRok
Han, Ho-Seong
Yoon, Yoo-Seok
Cho, Jai Young
Kim, Kil Hwan
Hyun, In Gun
Han, Sun Jong
Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve
title Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve
title_full Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve
title_fullStr Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve
title_full_unstemmed Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve
title_short Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve
title_sort solo single incision laparoscopic cholecystectomy using the parallel method; surgical technique reducing a steep learning curve
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6893057/
https://www.ncbi.nlm.nih.gov/pubmed/31825000
http://dx.doi.org/10.14701/ahbps.2019.23.4.344
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