British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 15, Issue.: 11
Cost Benefit Alternative to Single Access Laparoscopic Cholecystectomy
A. M. Abdelaziz Hassan1*, M. Mahmoud1, S. B. Elsebaie1, A. I. Nafeh1 and M. M. Elsebae1 1Department of General Surgery, Theodor Bilharz Research Institute, Giza, Egypt.
A. M. Abdelaziz Hassan1*, M. Mahmoud1, S. B. Elsebaie1, A. I. Nafeh1 and M. M. Elsebae1
1Department of General Surgery, Theodor Bilharz Research Institute, Giza, Egypt.
(1) Devendra K. Gupta, Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
(1) Apurva Pande, Hepatology,Institute of Liver and Biliary Sciences, New Delhi, India.
(2) Einar Arnbjörnsson, Skane University Hospital and Lund University, Lund, Sweden.
Complete Peer review History: http://sciencedomain.org/review-history/14693
Introduction: Single-incision laparoscopic surgery is an attractive approach for cholecystectomy. However, its widespread application has many limitations. A significant obstacle of application in developing countries is the expensive and non affordable specialized single port systems and roticulating instruments.
Objective: To assess the feasibility and effectiveness of the glove port technique of trans-umbilical single incision laparoscopic cholecystectomy (SILC) performed by a single surgeon using the conventional laparoscopic instruments.
Methodology: 70 patients with symptomatic gall bladder stone disease were selected and underwent glove port laparoscopic cholecystectomy (GPLC). Patient’s demographic data, operative data, early postoperative complications, patient satisfaction score and wound measurement 3 months later, were documented and statistically analyzed.
Results: The mean operative time was 47.75 min. The mean estimated blood loss was 14.5 ml. No conversion of the technique occurred. Overall intra operative complication rate was 5.7%, while post operative complication rate was 4.2%.
Conclusion: On technical basis; we consider GPLC in selected cases; a safe, feasible and convenient, and cost effective method of SILC.
Gall bladder; single incision laparoscopic surgery; glove port laparoscopic cholecystectomy.
DOI : 10.9734/BJMMR/2016/25988Review History Comments
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