Document Detail

Single-incision laparoscopic surgery for giant hepatic cyst.
MedLine Citation:
PMID:  23879420     Owner:  NLM     Status:  In-Data-Review    
INTRODUCTION: The aim of this study was to assess the feasibility and safety of single-incision laparoscopic fenestration and to introduce a new surgical technique. Laparoscopic fenestration has become a standard approach for symptomatic hepatic cysts because of the low recurrence rate and minimal postoperative pain. The single-incision laparoscopic surgery (SILS) technique has increasingly gained acceptance and is now applied to a variety of organs and operations.
MATERIALS AND SURGICAL TECHNIQUE: Between February 2010 and March 2011, we consecutively performed six cases of single-incision laparoscopic fenestration. A SILS Port was placed through a single intraumbilical skin incision. In addition to standard laparoscopic instruments, a flexible 5-mm laparoscope and an articulating grasper were used. The cyst wall was dissected with a 5-mm bipolar vessel sealer. SILS was successfully performed in all patients, and none required conversion to conventional multiport laparoscopic surgery or open surgery. Intraoperative blood loss was minimal in all cases. Median operative time was 144 min (range, 100-210 min). All patients were discharged uneventfully on 3 day postoperative. Median postoperative follow-up at 15.5 months (range, 8-20 months) did not reveal any complications or recurrence. The umbilical incisions were almost unnoticeable.
DISCUSSION: Our findings suggest that SILS for fenestration of a giant hepatic cyst is a safe and feasible. It is reproducible technique that is comparable to conventional laparoscopic surgery.
Takeshi Gocho; Takeyuki Misawa; Fumitake Suzuki; Ryusuke Ito; Hiroaki Shiba; Yasuro Futagawa; Shigeki Wakiyama; Yuichi Ishida; Katsuhiko Yanaga
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian journal of endoscopic surgery     Volume:  6     ISSN:  1758-5910     ISO Abbreviation:  Asian J Endosc Surg     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101506753     Medline TA:  Asian J Endosc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  237-40     Citation Subset:  IM    
Copyright Information:
© 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.
Department of Surgery, Jikei University School of Medicine, Tokyo, Japan.
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