8 year long experience of single-port cholecystectomy
R.R. YAKHIN1,2, L.E. SLAVIN1,2
1Interregional Clinical-Diagnostic Center, 12 a Karbyshev Str., Kazan, Russian Federation, 420101
2Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012
Yakhin R.R. — surgeon of the Surgery Department, post-graduate student of the Department of Endoscopy, General and Endoscopic Surgery, tel. (843) 291-10-65, e-mail: rustemyahin@mail.ru
Slavin L.E. — D. Med. Sc., Professor of the Department of Endoscopy, General and Endoscopic Surgery, Chief Specialist in abdominal surgery, tel. +7-917-391-53-45, e-mail: Lev.s@rambler.ru
The article presents the results of 8 years of experience in laparoscopic cholecystectomy through single access in the treatment of patients with uncomplicated gallstone disease from November 2009 to March 2017. Statistical analysis was performed for such parameters as gender, age, body mass index, anesthesia risk degree, duration of surgical operation, need for analgesics in comparison with traditional laparoscopic cholecystectomy. Special attention was paid to the peculiarities of surgical technique and the type of instruments used in the procedure. The authors studied and demonstrated the intraoperative and postoperative complications, conversion to the traditional laparoscopic cholecystectomy, or introduction of additional trocars and causes of these changes in technique. It is shown that the use of single-port cholecystectomy is not accompanied with severe complications and can be performed for appropriately selected patients.
Key words: single-port laparoscopic cholecystectomy, single-port laparoscopic access, port, complications, conversion, laparoscopic cholecystectomy.
REFERENCES
- Starkov U.G. Istorichescie aspect I sovremennoe sostoyanie hirurgii edinogo dostupa [Historical aspects and current status of surgery single access]/ U. G. Starkov, K.V. Shishin, I.U. Nedoludgko, et al.// Hirurgiya — Surgery. – 2012. – №9. – P.90-94..
- Gallinger U.I., Timoshin A.D.. Laparoscopichescaya Cholecystectomyya [Laparoscopic cholecystectomy] — М., 1992. — P.23.
- Marescaux, J. Surgery without scars: a report of transluminal cholecystectomy in a human being / J. Marescaux, B. Dallemagne, S. Perretta // Arch Surg. – 2007. − №142. – P. 823 – 826.
- Kossovich M.A. Minimizaciya dostupa pri vipolnenii laparoscopicheskoy cholecystectomii – determinirovannaya tendenciya sovremennoy hirurgii. [Minimizing access in performing laparoscopic cholecystectomy — the deterministic trend of modern surgery] S`ezd rossiyskogo obchestva endoscopichescih hirurgov — Congress of Russian society of endoscopic surgeons, 13: Materiali — Materials М 2010; 57—58.
- Remzi F.H. Single-port laparoscopy in colorectal surgery / F.H. Remzi, H.T. Kirat, J.H. Kaouk, et al. // Colorectal Dis. – 2008. – №10(8). – P.823-826.