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Single-incision laparoscopic cholecystectomy with an additional needle grasper: a novel technique
Osamu Komine1, Hideyuki Suzuki, Masanori Watanabe
1Institute of Gastroenterology, Nippon Medical School Musashi Kosugi Hospital.
Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|March 24, 2015
Summary
A new single-incision laparoscopic cholecystectomy (SILC) technique using a needle grasper (SILCAN) is safe and feasible. This method offers comparable outcomes to conventional laparoscopic cholecystectomy, with potentially reduced technical difficulty and improved cosmesis.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Single-incision laparoscopic surgery (SILS) offers cosmetic and potential patient benefits.
- Technical challenges limit widespread adoption of SILS.
- A novel needle grasper technique (SILCAN) was developed to address these challenges.
Purpose of the Study:
- To evaluate the safety and feasibility of a new needle grasper technique for single-incision laparoscopic cholecystectomy (SILCAN).
- To compare SILCAN outcomes with conventional 4-port laparoscopic cholecystectomy (CLC).
Main Methods:
- Retrospective comparison of 29 patients undergoing SILCAN versus 32 patients undergoing CLC.
- SILCAN involved a needle grasper introduced without a trocar in the right subcostal region.
- Intraoperative and postoperative outcomes were analyzed.
Main Results:
- No significant differences in patient characteristics or overall outcomes between SILCAN and CLC groups.
- No conversions to open surgery or additional ports were required in either group.
- SILCAN demonstrated comparable postoperative pain and cosmesis to CLC, with one complication of bile duct stenosis in a patient with severe chronic cholecystitis.
Conclusions:
- SILCAN is a safe and feasible alternative for single-incision laparoscopic cholecystectomy.
- The SILCAN technique is less technically demanding than conventional SILC.
- Postoperative pain and cosmetic outcomes of SILCAN are comparable to conventional SILC and standard SILC.