Detailed Abstract
[BP Oral Presentation 2 - Biliary Disease/Surgery]
[BP OP 2-5] Photodocumentation of the critical view of safety: Retrospective comparison study between needlescopic grasper assisted single incision laparoscopic cholecystectomy and three port laparoscopic cholecystectomy
Sung Eun PARK, Soo Ho LEE, Kee Hwan KIM, Suk Hyun CHO
Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea, Korea
Introduction : Single incision laparoscopic cholecystectomy (SILC) has some technical problems. Our group has performed needlescopic grasper assisted SILC (nSILC) to overcome these problems. We evaluate the safety and feasibility of this technique comparing with the three port laparoscopic cholecystectomy (TPLC) for obtaining rate of the critical view of safety (CVS) via photodocumentation.
Methods : We analyzed the medical records of the patients who underwent nSILC and TPLC with photodocumentation for benign gallbladder disease between January 2011 and December 2015. A needlescopic grasper was used in nSILC, which was inserted through a direct puncture on right upper quadrant of abdomen. The scope and other instrument were inserted through umbilical port.
Results : Totally 1221 patients underwent laparoscopic cholecystectomy during the period. Among them, 577 patients underwent nSILC and 644 patients underwent TPLC. CVS obtaining time and main procedure time (skin incision to gallbladder removal time) for nSILC was significantly longer than that of TPLC. But, in terms of CVS obtaining success rate is more higher in nSILC group.
Conclusions : We can get high success rate of accurate CVS obtaining rate with photodocumentation in nSILC. So, nSILC is feasible and safe surgical procedure in patient with benign gallbladder disease.
Methods : We analyzed the medical records of the patients who underwent nSILC and TPLC with photodocumentation for benign gallbladder disease between January 2011 and December 2015. A needlescopic grasper was used in nSILC, which was inserted through a direct puncture on right upper quadrant of abdomen. The scope and other instrument were inserted through umbilical port.
Results : Totally 1221 patients underwent laparoscopic cholecystectomy during the period. Among them, 577 patients underwent nSILC and 644 patients underwent TPLC. CVS obtaining time and main procedure time (skin incision to gallbladder removal time) for nSILC was significantly longer than that of TPLC. But, in terms of CVS obtaining success rate is more higher in nSILC group.
Conclusions : We can get high success rate of accurate CVS obtaining rate with photodocumentation in nSILC. So, nSILC is feasible and safe surgical procedure in patient with benign gallbladder disease.
SESSION
BP Oral Presentation 2
Room C 3/30/2018 3:20 PM - 4:10 PM