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Cited 3 time in webofscience Cited 4 time in scopus
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The chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study

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dc.contributor.authorLee, Woohyung-
dc.contributor.authorRoh, Young Hoon-
dc.contributor.authorKang, Sung Hwa-
dc.contributor.authorKim, Chung Yun-
dc.contributor.authorChoi, YoungRok-
dc.contributor.authorHan, Ho-Seong-
dc.contributor.authorHan, Hyung Joon-
dc.contributor.authorSong, Tae-Jin-
dc.contributor.authorKang, Chang Moo-
dc.contributor.authorLee, Woo Jung-
dc.contributor.authorChoi, Sung Hoon-
dc.contributor.authorJeong, Sung Yub-
dc.contributor.authorHong, Tae Ho-
dc.contributor.authorYou, Young Kyoung-
dc.contributor.authorLee, Jae Hoon-
dc.contributor.authorMoon, Ju lk-
dc.contributor.authorChoi, In Seok-
dc.date.available2020-11-10T06:45:44Z-
dc.date.issued2021-06-
dc.identifier.issn0930-2794-
dc.identifier.issn1432-2218-
dc.identifier.urihttps://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/28025-
dc.description.abstractBackground 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.-
dc.format.extent8-
dc.language영어-
dc.language.isoENG-
dc.publisherSPRINGER-
dc.titleThe chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study-
dc.typeArticle-
dc.publisher.location미국-
dc.identifier.doi10.1007/s00464-020-07748-5-
dc.identifier.scopusid2-s2.0-85087074950-
dc.identifier.wosid000543051000001-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, v.35, no.6, pp 3025 - 3032-
dc.citation.titleSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.citation.volume35-
dc.citation.number6-
dc.citation.startPage3025-
dc.citation.endPage3032-
dc.type.docTypeArticle; Early Access-
dc.description.isOpenAccessN-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
dc.relation.journalResearchAreaSurgery-
dc.relation.journalWebOfScienceCategorySurgery-
dc.subject.keywordPlusPORT-
dc.subject.keywordAuthorSingle-incision laparoscopic cholecystectomy-
dc.subject.keywordAuthorSurgical indication-
dc.subject.keywordAuthorAcute cholecystitis-
dc.subject.keywordAuthorPostoperative complication-
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Song, Taejin
Ansan Hospital (Department of Hepato-Biliary-Pancreatic Surgery, Ansan Hospital)
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