PP 26. Clinical Aspect Of 507 Cases Of Single Port Laparoscopic Cholecystectomy Experienced By A Single Surgeon

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Y. Roh, M. Sook Roh

19:10 - 19:16h at Margrit Room

Categories: Gastrointestinal Surgery, Poster Session , Robotic and Minimal Invasive Surgery

Session: Poster (P2) - Gastrointestinal Surgery / Minimal Invasive

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Background
Single port laparoscopic cholecystectomy (SPLC) is a new advanced technique in laparoscopic surgery. This study aims to present personal experience with SPLC over 500 cases to evaluate the safety and feasibility of this operation.

Material and Methods
A retrospective review of 507 cases of SPLC was carried out. All patients had received elective SPLC by a single surgeon from May 2009 to September 2013. Our review suggests patients' character, perioperative data and postoperative outcome.

Result
227 men (44.8%) and 280 women (55.2%) with an average age of 48.3 years had received SPLC. Their mean body mass index (BMI) was 23.75 kg/m2. The mean operating time took 51.75 minutes (27~130). 56 cases (11.0%) needed additional port during operation. BMI, age, previous abdominal surgical history did not seem to affect conversion to multi-port surgery. There were 2 cases of open conversion because of bleeding. Mean duration of hospital stay was 2.21 days. Postoperative pathologic finding was 197 cases (38.9%) of cholecystitis with gallstone, 303 cases (59.7%) of gallbladder polyp and 7 cases (1.4%) of gall bladder cancer. We have experienced 32 cases (6.3%) of postoperative complication, which were 6 cases of major one (3 cases of retained CBD stone, 2 cases of cystic duct leakage and 1 case of CBD injury) and 26 cases of minor one. There was no postoperative mortality.

Conclusion
SPLC is a safe and practicable technique. With surgical experience, the criteria and area of SPLC can be broadened.