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Single incision laparoscopic cholecystectomy using Konyang Standard Method.

Jong Il Son1, In Seok Choi2, Ju Ik Moon1

  • 1Department of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.

Annals of Surgical Treatment and Research
|May 1, 2014
PubMed
Summary

Single incision laparoscopic cholecystectomy (SILC) using the Konyang Standard Method is a safe and feasible approach for benign gallbladder disease. This minimally invasive technique demonstrates good outcomes and can be widely applied to diverse patient populations.

Keywords:
Konyang Standard MethodLaparoscopic cholecystectomy

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Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Innovation

Background:

  • Single incision laparoscopic cholecystectomy (SILC) is an emerging minimally invasive surgical technique.
  • Standardization of SILC procedures remains a challenge in surgical practice.
  • Evaluating novel standardized methods is crucial for advancing surgical techniques.

Purpose of the Study:

  • To assess the adequacy and feasibility of the Konyang Standard Method for single incision laparoscopic cholecystectomy (SILC).
  • To evaluate the safety and efficacy of a standardized SILC approach.
  • To determine the applicability of the Konyang Standard Method across various benign gallbladder pathologies.

Main Methods:

  • Retrospective review of 307 SILC procedures performed between April 2010 and August 2012.
  • Initial exclusion criteria (age >70, cardiopulmonary issues, acute cholecystitis complications) were removed after 50 cases.
  • The Konyang Standard Method utilized a three-trocar single port and long articulated instruments.

Main Results:

  • 307 patients underwent SILC, with a mean age of 51.6 years and BMI of 24.8 kg/m².
  • Common indications included chronic cholecystitis (247 cases), acute cholecystitis (30), gallbladder polyps (24), and empyema (6).
  • Mean operative time was 53.1 minutes, mean hospital stay was 2.9 days, with a 1.6% conversion rate and 1.6% complication rate.

Conclusions:

  • The Konyang Standard Method for SILC is demonstrated to be safe and feasible.
  • This standardized approach is suitable for a broad spectrum of benign gallbladder diseases.
  • The findings support the widespread adoption of this SILC technique.