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Cited 2 time in webofscience Cited 2 time in scopus
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The chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study

Authors
Lee, WoohyungRoh, Young HoonKang, Sung HwaKim, Chung YunChoi, YoungRokHan, Ho-SeongHan, Hyung JoonSong, Tae-JinKang, Chang MooLee, Woo JungChoi, Sung HoonJeong, Sung YubHong, Tae HoYou, Young KyoungLee, Jae HoonMoon, Ju lkChoi, In Seok
Issue Date
Jun-2021
Publisher
SPRINGER
Keywords
Single-incision laparoscopic cholecystectomy; Surgical indication; Acute cholecystitis; Postoperative complication
Citation
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, v.35, no.6, pp.3025 - 3032
Indexed
SCIE
SCOPUS
Journal Title
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
Volume
35
Number
6
Start Page
3025
End Page
3032
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/28025
DOI
10.1007/s00464-020-07748-5
ISSN
0930-2794
Abstract
Background Although single-incision laparoscopic cholecystectomy (SILC) is a common procedure, the change in its surgical indications and perioperative outcomes has not been analyzed. Methods We collected the clinical data of patients who underwent pure SILC in 9 centers between 2009 and 2018 and compared the perioperative outcomes. Results In this period, 6497 patients underwent SILC. Of these, 2583 were for gallbladder (GB) stone (39.7%), 774 were for GB polyp (11.9%), 994 were for chronic cholecystitis (15.3%), and 1492 were for acute cholecystitis (AC) (23%). 162 patients (2.5%) experienced complication, including 20 patients (0.2%) suffering from biliary leakage. The number of patients who underwent SILC for AC increased over time (p = 0.028), leading to an accumulation of experience (27.4 vs 23.7%,p = 0.002). The patients in late period were more likely to have undergone a previous laparotomy (29.5 vs 20.2%,p = 0.006), and to have a shorter operation time (47.0 vs 58.8 min,p < 0.001). Male (odds ratio [OR]; 1.673, 95% confidence interval [CI] 1.090-2.569,p = 0.019) and moderate or severe acute cholecystitis (OR; 2.602, 95% CI 1.677-4.037,p < 0.001) were independent predictive factors for gallbladder perforation during surgery, and open conversion (OR; 5.793, 95% CI 3.130-10.721,p < 0.001) and pathologically proven acute cholecystitis or empyema (OR; 4.107, 95% CI 2.461-6.854,p < 0.001) were related with intraoperative gallbladder perforation Conclusion SILC has expanded indication in late period. In this period, the patients had shorter operation times and a similar rate of severe complications, despite there being more numerous patients with AC.
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Song, Taejin
Ansan Hospital (Department of Hepato-Biliary-Pancreatic Surgery, Ansan Hospital)
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