Single-fulcrum laparoscopic cholecystectomy

A single-incision and multi-port technique

Sung Hoon Choi, Ho Kyoung Hwang, Chang Moo Kang, Woo Jung Lee

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Single-incision laparoscopic cholecystectomy (LC) is still technically demanding and usually requires specially designed instruments. This article describes our own technique, a single-fulcrum LC using only standard ports and instruments. Methods: Between March 2009 and December 2010, 130 consecutive patients, all scheduled to undergo elective LC, underwent this single-fulcrum LC for benign gallbladder disease. Perioperative surgical outcomes were retrospectively evaluated. Results: One hundred and ten patients (84.6%) underwent successful single-fulcrum LC, and 20 patients (15.4%) were converted to conventional surgery (n= 18) or required additional trocars (n= 2) during the procedure because of umbilical hernia (n= 3), severe inflammation or adhesion (n= 9), impacted cystic duct stone (n= 3), anatomical anomaly (n= 3) and iatrogenic injury (n= 2). Two intraoperative complications (iatrogenic injury) were securely managed using additional trocars and there was no post-operative morbidity or mortality. This single-fulcrum LC could be performed with comparable cost to conventional LC, and the sequential operative time showed reasonable learning curve. Conclusion: Single-fulcrum LC is feasible, safe and quite reproducible. The surgical wound can be dramatically reduced at a similar cost to conventional LC. It may be an alternative procedure for most uncomplicated benign gallbladder disease.

Original languageEnglish
Pages (from-to)529-534
Number of pages6
JournalANZ Journal of Surgery
Volume82
Issue number7-8
DOIs
Publication statusPublished - 2012 Jul 1

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Laparoscopic Cholecystectomy
Gallbladder Diseases
Surgical Instruments
Cystic Duct
Costs and Cost Analysis
Umbilical Hernia
Learning Curve
Intraoperative Complications
Wounds and Injuries
Operative Time
Inflammation
Morbidity
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Choi, Sung Hoon ; Hwang, Ho Kyoung ; Kang, Chang Moo ; Lee, Woo Jung. / Single-fulcrum laparoscopic cholecystectomy : A single-incision and multi-port technique. In: ANZ Journal of Surgery. 2012 ; Vol. 82, No. 7-8. pp. 529-534.
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Single-fulcrum laparoscopic cholecystectomy : A single-incision and multi-port technique. / Choi, Sung Hoon; Hwang, Ho Kyoung; Kang, Chang Moo; Lee, Woo Jung.

In: ANZ Journal of Surgery, Vol. 82, No. 7-8, 01.07.2012, p. 529-534.

Research output: Contribution to journalArticle

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