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Effective method of gallbladder retraction for single-incision laparoscopic cholecystectomy
Naotake Funamizu1, Tomoyoshi Okamoto1, Tomotaka Kumamoto1
1Department of Surgery, The Jikei University, Daisan Hospital, Tokyo, Japan.
Asian Journal of Endoscopic Surgery
|December 15, 2018
Summary
This study found that using ENDOLOOP® and Lapaherclosure™ for gallbladder retraction during single-incision laparoscopic cholecystectomy is safe and feasible. This technique offers a cost-effective and comparable alternative to existing methods for this minimally invasive surgery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Single-incision laparoscopic cholecystectomy (SILS-CC) is an emerging alternative to conventional laparoscopic cholecystectomy.
- Novel retraction methods are crucial for the safety and efficiency of SILS-CC.
- This study evaluates unique retraction techniques using ENDOLOOP® and Lapaherclosure™.
Purpose of the Study:
- To retrospectively assess the safety and feasibility of novel gallbladder retraction methods in SILS-CC.
- To compare the outcomes of SILS-CC with ENDOLOOP®/Lapaherclosure™ against conventional laparoscopic cholecystectomy.
Main Methods:
- Retrospective analysis of 77 patients undergoing SILS-CC with ENDOLOOP®/Lapaherclosure™ retraction (May 2013-April 2015).
- 85 patients undergoing conventional laparoscopic cholecystectomy served as the control group.
- Data collected included operative time, blood loss, conversion rates, and perioperative complications.
Main Results:
- The study compared operative time, blood loss, conversion rates, and complications between SILS-CC and conventional methods.
- Specific details on the comparison of these metrics are presented in the full study.
Conclusions:
- The ENDOLOOP® and Lapaherclosure™ retraction method for SILS-CC is demonstrated to be feasible.
- This technique appears comparable to existing methods for SILS-CC in terms of safety and cost-effectiveness.
- Further research may explore its broader adoption in minimally invasive gallbladder surgery.
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