Article Sidebar

PDF
Date Published: 15/06/2023
Abstract Views: 338
Views PDF: 167
DOI: https://doi.org/10.51298/vmj.v527i1.5604
Issue
Vol. 527 No. 1 (2023)
Section
Các bài báo
How to Cite
Đặng , Q. Ái ., & Hà, V. Q. (2023). LONG-TERM FOLLOW-UP RESULTS OF SINGLE-PORT LAPAROSCOPIC CHOLECYSTECTOMY. Vietnam Medical Journal, 527(1). https://doi.org/10.51298/vmj.v527i1.5604

LONG-TERM FOLLOW-UP RESULTS OF SINGLE-PORT LAPAROSCOPIC CHOLECYSTECTOMY

Quốc Ái Đặng 1,2,, Văn Quyết Hà3
1 HMU
2 E hospital
3 Phenikaa university

Main Article Content

Abstract

Background: Single-port laparoscopic cholecystectomy was born with the desire to further improve the surgical method of gallbladder disease. However, it is still controversial and needs to be supported by studies with long enough postoperative follow-up time. We conducted this study with the aim of evaluating the surgical outcomes and long-term follow-up of patients undergoing single-port laparoscopic cholecystectomy. Subjects and Methods: This is a prospective, longitudinal follow-up study. The study subjects included patients who underwent single-port laparoscopic cholecystectomy at Hanoi Medical University Hospital from January 2011 to December 2016. Results: The mean age of the study group was 43.95 years old. The average BMI was 21.89 kg/m2. Preoperative diagnosis was 79.8% gallstones alone and of which 8.7% acute cholecystitis. The success rate of single-port laparoscopic cholecystectomy was 94.2% and the mean surgical time was 74.81 minutes. The mean time of post-operative defecation was 1.26 days and re-feeding was 1.30 days. VAS score after surgery on the first day was 4.35 and gradually decreased in the following days. There were 4.1% of patients had complications after surgery. The mean hospital stay was 3.33 days. Patient satisfaction at the time of discharge is high, of which 75.5% are very satisfied and 20.4% are satisfied. Re-examination results at 1 month after surgery had 94.9% good results, 3 months and 6 months after surgery, all 100% of patients recovered well. The results of the assessment of physical aesthetics at 1 month, 3 months and 6 months after surgery were good. The mean follow-up time was 93.65 months. There are 2.0% cases of severe pain in the liver hilum when doing maximum twisting movements. At the end of the study, all 100% of the patients had the maximum score for the surgical incision at the navel. Conclusion: Single-port Laparoscopic cholecystectomy is a safe, effective surgery with many advantages when it is monitored and evaluated for a long time after surgery.

Article Details

Keywords

Single-port Laparoscopic cholecystectomy, laparoscopic cholecystectomy, single-port laparoscopic surgery.

References

1. Jani K, Rajan P.S, Sendhilkumar K et al (2006). Twenty years after Erich Muhe: Persisting controversies with the gold standard of laparoscopic cholecystectomy. J Minim Access Surg, 2 (2), 49-58.
2. Mouret P (2008). Reflections on the Birth and on the Concept of Laparoscopic Surgery. Biliary Lithiasis: Basic Science, Current Diagnosis and Management, Springer, Milan, 1-11.
3. Navarra G, Pozza E, Occhionorelli S et al (1997). One-wound laparoscopic cholecystectomy. Br J Surg, 84 (5), 695.
4. Podolsky E.R, Rottman S.J, Poblete H et al (2009). Single port access (SPA) cholecystectomy: a completely transumbilical approach. J Laparoendosc Adv Surg Tech A, 19 (2), 219-222.
5. Haueter, R., et al., Meta-analysis of single-port versus conventional laparoscopic cholecystectomy comparing body image and cosmesis. Br J Surg, 2017. 104(9): p. 1141-1159.
6. Asakuma, M., et al., Impact of single-port cholecystectomy on postoperative pain. Br J Surg, 2011. 98(7): p. 991-5.
7. Barutcu, A.G., et al., Long-term follow-up after single-incision laparoscopic surgery. Surg Endosc, 2020. 34(1): p. 126-132.
8. Ishikawa, M., et al., Gasless single-port laparoscopic cholecystectomy. J Minim Invasive Surg, 2021. 24(3): p. 152-157.