TY - JOUR
T1 - Single-port-access (SPA™) cholecystectomy
T2 - A multi-institutional report of the first 297 cases
AU - Curcillo, Paul G.
AU - Wu, Andrew S.
AU - Podolsky, Erica R.
AU - Graybeal, Casey
AU - Katkhouda, Namir
AU - Saenz, Alex
AU - Dunham, Robert
AU - Fendley, Steven
AU - Neff, Marc
AU - Copper, Chad
AU - Bessler, Marc
AU - Gumbs, Andrew A.
AU - Norton, Michael
AU - Iannelli, Antonio
AU - Mason, Rodney
AU - Moazzez, Ashkan
AU - Cohen, Larry
AU - Mouhlas, Angela
AU - Poor, Alex
PY - 2010/8
Y1 - 2010/8
N2 - Background: An important aspect of a new surgical technique is whether it can be performed by other surgeons in other institutions. The authors report the first 297 cases in a multi-institutional and multinational review of laparoscopic cholecystectomy performed via a single portal of entry. Methods: Data were collected retrospectively for the initial patients undergoing single-port cholecystectomy by 13 surgeons who performed these procedures in their institutions after training by the authors. The review included operative time, blood loss, incision length, length of hospital stay (LOS), necessary additional trocars, and other parameters important to cholecystectomy. A database of all the single-port-access (SPA) surgeries performed by the surgeons included demographic and procedural details, LOS, complications, and initial follow-up data. Results: To date, 297 single-port cholecystectomies have been performed for a variety of diagnoses, primarily cholelithiasis. The average operative time was 71 min, and the average LOS was 1-2 days. The average blood loss was minimal. The use of additional port sites outside the umbilicus occurred in 34 of the cases. Of the 35 intraoperative cholangiograms performed, 34 were successful. No significant complications occurred except for seromas and minor postoperative wound infections. These results are comparable with those for standard multiport cholecystectomy. In addition, no access site hernias (ASH) occurred. Conclusions: The findings demonstrate that SPA surgery is an alternative to multiport laparoscopy with fewer scars and better cosmesis. One factor affecting the rate for adoption of SPA surgery among other surgeons is the reproducibility of this new procedure. Although this study had insufficient data to determine fully the benefits of SPA surgery, the feasibility of this procedure with safe, acceptable results was demonstrated in this initial large series across multinational institutions.
AB - Background: An important aspect of a new surgical technique is whether it can be performed by other surgeons in other institutions. The authors report the first 297 cases in a multi-institutional and multinational review of laparoscopic cholecystectomy performed via a single portal of entry. Methods: Data were collected retrospectively for the initial patients undergoing single-port cholecystectomy by 13 surgeons who performed these procedures in their institutions after training by the authors. The review included operative time, blood loss, incision length, length of hospital stay (LOS), necessary additional trocars, and other parameters important to cholecystectomy. A database of all the single-port-access (SPA) surgeries performed by the surgeons included demographic and procedural details, LOS, complications, and initial follow-up data. Results: To date, 297 single-port cholecystectomies have been performed for a variety of diagnoses, primarily cholelithiasis. The average operative time was 71 min, and the average LOS was 1-2 days. The average blood loss was minimal. The use of additional port sites outside the umbilicus occurred in 34 of the cases. Of the 35 intraoperative cholangiograms performed, 34 were successful. No significant complications occurred except for seromas and minor postoperative wound infections. These results are comparable with those for standard multiport cholecystectomy. In addition, no access site hernias (ASH) occurred. Conclusions: The findings demonstrate that SPA surgery is an alternative to multiport laparoscopy with fewer scars and better cosmesis. One factor affecting the rate for adoption of SPA surgery among other surgeons is the reproducibility of this new procedure. Although this study had insufficient data to determine fully the benefits of SPA surgery, the feasibility of this procedure with safe, acceptable results was demonstrated in this initial large series across multinational institutions.
KW - Cholecystectomy
KW - Laparoscopic cholecystectomy
KW - Multi-institutional
KW - Reduced-port surgery
KW - SPA cholecystectomy
KW - Single incision laparoscopic cholecystectomy
KW - Single-port access
UR - http://www.scopus.com/inward/record.url?scp=77955508895&partnerID=8YFLogxK
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=purepublist2023&SrcAuth=WosAPI&KeyUT=WOS:000279488400009&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1007/s00464-009-0856-x
DO - 10.1007/s00464-009-0856-x
M3 - Article
C2 - 20135180
SN - 0930-2794
VL - 24
SP - 1854
EP - 1860
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 8
ER -