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Laparoendoscopic single site cholecystectomy: the first 100 patients
Jonathan M Hernandez1, Connor A Morton, Sharona Ross
1Department of Surgery, University of South Florida, Tampa General Hospital, Tampa, Florida 33601, USA.
The American Surgeon
|September 4, 2009
Summary
Laparoendoscopic single site (LESS) cholecystectomy offers minimal scarring and is safe. This study found LESS cholecystectomy comparable to conventional methods in operative time and hospital stay.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Laparoendoscopic single site (LESS) surgery aims for better cosmetic outcomes and reduced pain.
- Limited data exists on the true benefits and drawbacks of LESS procedures.
Purpose of the Study:
- To evaluate the initial 100 patients who underwent LESS cholecystectomy.
- To compare outcomes of LESS cholecystectomy with conventional multi-incision laparoscopic cholecystectomy.
Main Methods:
- Prospective data collection for 100 LESS cholecystectomy patients.
- Comparison with a concurrent, uncontrolled group of 30 multi-incision laparoscopic cholecystectomy patients.
- Outcomes analyzed included operative time, blood loss, complications, and length of stay.
Main Results:
- No significant difference in median operative time (70 vs. 66 minutes) or length of stay (1 day vs. 1 day) between LESS and conventional cholecystectomy.
- Five patients (5%) experienced postoperative complications after LESS cholecystectomy: one cystic duct stump leak, three pain control issues, and one urinary retention.
- LESS cholecystectomy demonstrated comparable safety and efficacy to multi-incision laparoscopic cholecystectomy.
Conclusions:
- Laparoendoscopic single site cholecystectomy is a safe and effective alternative to conventional laparoscopic cholecystectomy.
- LESS cholecystectomy can be performed without increased operative time.
- This technique offers patients the benefit of minimal scarring.