eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Videoforum Manuscripts accepted About the journal Supplements Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank


4/2017
vol. 12
 
Share:
Share:
more
 
 
abstract:
Original paper

Single port access for laparoscopic lateral segmentectomy

Yoshihiro Inoue, Mitsuhiro Asakuma, Fumitoshi Hirokawa, Michihiro Hayashi, Tetsunosuke Shimizu, Kazuhisa Uchiyama

Videosurgery Miniinv 2017; 12 (4): 357–365
Online publish date: 2017/09/26
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction: Single-port access laparoscopic lateral segmentectomy (LLS) has been developed as a novel minimally invasive surgery. We have experience with this LLS technique.

Aim: To report our technique and patients’ postoperative course in a series of single-port access LLS performed in our department. We also examine the cosmetic outcome, safety, and utility of the procedure.

Material and methods: Between February 2010 and October 2016, 54 patients who underwent single- or multiple-port laparoscopic or open lateral segmentectomy (LS) were retrospectively analyzed with respect to cosmetic outcome, safety, and utility.

Results: In the single LLS group, the laparoscopic procedure was successfully completed for all 14 patients. The median operative time was significantly shorter in the single LLS group (123 min; range: 50–270 min) than in the other groups. Estimated blood loss was also significantly lower in the single LLS group (10 ml; range: 0–330 ml). During the first 7 postoperative days, the visual analog scale pain score and the use of additional analgesia were not significantly different between groups. The single LLS group had a 7.1% complication rate (Clavien-Dindo classification > IIIA); this was not significantly different between groups.

Conclusions: Single-port access LLS is a procedure with excellent cosmetic results, although, with regard to invasiveness, there are no major differences from conventional LLS.
keywords:

single port access, laparoscopic lateral segmentectomy, cosmetics, visual analog scale, crossing hands technique

references:
Azagra JS, Goergen M, Gilbart E, et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects. Surg Endosc 1996; 10: 758-61.
Atallah S, Martin-Perez B, Keller D, et al. Natural-orifice transluminal endoscopic surgery. Br J Surg 2015; 102: e73-92.
Asakuma M, Hayashi M, Komeda K, et al. Impact of single-port cholecystectomy on postoperative pain. Br J Surg 2011; 25: 649-50.
Pugh RN, Murray-Lyon IM, Dawson JL, et al. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg 1973; 60: 646-9.
Inoue Y, Hayashi M, Tanaka R, et al. Short-term results of laparoscopic versus open liver resection for liver metastasis from colorectal cancer: a comparative study. Am Surg 2013; 79: 495-501.
Inoue Y, Hayashi M, Komeda K, et al. Resection margin with anatomic or nonanatomic hepatectomy for liver metastasis from colorectal cancer. J Gastrointest Surg 2012; 16: 1171-80.
Inoue Y, Tanaka R, Komeda K, et al. Fluorescence detection of malignant liver tumors using 5-aminolevulinic acid-mediated photodynamic diagnosis: principles, technique, and clinical experience. World J Surg 2014; 38: 1786-94.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205-13.
Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 2009; 250: 187-96.
Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection, 1999 Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999; 27: 97-132.
Rahbari NN, Garden OJ, Padbury R, et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery 2011; 149: 713-24.
Poon CM, Chan KW, Lee DW, et al. Two-port vs four-port laparoscopic cholecystectomy. Surg Endosc 2003; 17: 1624-7.
Ramachandran CS, Arora V. Two-port laparoscopic cholecystectomy: an innovative new method for gallbladder removal. J Laparoendosc Adv Surg Tech A 1998; 8: 303-8.
Lomanto D, De Angelis L, Geci V, et al. Two-trocar laparoscopic cholecystectomy: a reproducible technique. Surg Laparosc Endosc Percutan Tech 2001; 11: 248-51.
Gaujoux S, Kingham TP, Jarnagin WR, et al. Single-incision laparoscopic liver resection. Surg Endosc 2011; 25: 1489-94.
Patel AG, Belqaumkar AP, James J, et al. Single-incision laparoscopic left lateral segmentectomy of colorectal liver metastasis. Surg Endosc 2011; 25: 649-50.
Ban D, Kudo A, Irie T, et al. Advances in reduced port laparoscopic liver resection. Asian J Endosc Surg 2015; 8: 11-5.
  
Quick links
© 2018 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe