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Related Experiment Videos

Laparoendoscopic single site (LESS) cholecystectomy.

Steven E Hodgett1, Jonathan M Hernandez, Connor A Morton

  • 1Department of Surgery, University of South Florida, Tampa General Hospital, PO Box 1289, Tampa, FL 33601, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|November 26, 2008
PubMed
Summary
This summary is machine-generated.

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Laparoendoscopic single-site (LESS) cholecystectomy offers a safe and effective alternative to traditional laparoscopic surgery, providing improved cosmesis with comparable operative times and hospital stays. This minimally invasive approach is expected to grow in popularity due to patient demand for reduced scarring.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Gastrointestinal Surgery

Background:

  • The evolution of surgical techniques progresses towards less invasive approaches, including single-incision procedures.
  • Laparoendoscopic single-site surgery (LESS) aims to improve cosmetic outcomes, reduce pain, and enhance recovery compared to conventional methods.
  • This study evaluates the initial experience with LESS cholecystectomy against standard multiport laparoscopic cholecystectomy.

Purpose of the Study:

  • To assess the initial outcomes of laparoendoscopic single-site (LESS) cholecystectomy.
  • To compare LESS cholecystectomy with conventional multiport laparoscopic cholecystectomy in terms of operative time, blood loss, complications, and length of stay.

Main Methods:

  • A prospective evaluation of patients undergoing LESS cholecystectomy over a six-month period.

Related Experiment Videos

  • Comparison of outcomes with a concurrent, non-randomized group of patients undergoing standard multiport laparoscopic cholecystectomy.
  • Data collected included operative time, blood loss, complications, and length of hospital stay.

    • Main Results:

    • Twenty-nine patients underwent LESS cholecystectomy, compared to 29 patients in the multiport group.
    • Median operative times (72 min for LESS) and hospital stays (1.0 day for LESS) were not significantly different between the two groups.
    • Estimated blood loss was minimal (<100 cc) in all cases; no LESS procedures were converted to open surgery, though two required additional trocars for improved exposure. Three LESS patients experienced complications (pain control, urinary retention).

    Conclusions:

    • LESS cholecystectomy is a safe and effective alternative to standard laparoscopic cholecystectomy.
    • This approach achieves comparable operative efficiency and hospital stay while offering superior cosmetic results.
    • Surgeon proficiency in LESS procedures will be increasingly important due to anticipated patient demand.