Cost Benefit Alternative to Single Access Laparoscopic Cholecystectomy
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 15, Issue 11
Abstract
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.
Authors and Affiliations
A. M. Abdelaziz Hassan, M. Mahmoud, S. B. Elsebaie, A. I. Nafeh, M. M. Elsebae
Keywords
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- EP ID EP341482
- DOI 10.9734/BJMMR/2016/25988
- Views 50
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