![](/images/graphics-bg.png)
Prospective Observational Study of Single-Site Multiport Per-umbilical Laparoscopic Endosurgery versus Conventional Multiport Laparoscopic Cholecystectomy: Critical Appraisal of a Unique Umbilical Approach
Joint Authors
Yadav, Sudeep Pradeep
Jategaonkar, Priyadarshan Anand
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-30
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Purpose.
This prospective observational study compares an innovative approach of Single-Site Multi-Port Per-umbilical Laparoscopic Endo-surgery (SSMPPLE) cholecystectomy with the gold standard—Conventional Multi-port Laparoscopic Cholecystectomy (CMLC)—to assess the feasibility and efficacy of the former.
Methods.
In all, 646 patients were studied.
SSMPPLE cholecystectomy utilized three ports inserted through three independent mini-incisions at the umbilicus.
Only the day-to-day rigid laparoscopic instruments were used in all cases.
The SSMPPLE cholecystectomy group had 320 patients and the CMLC group had 326 patients.
The outcomes were statistically compared.
Results.
SSMPPLE cholecystectomy had average operative time of 43.8 min and blood loss of 9.4 mL.
Their duration of hospitalization was 1.3 days (range, 1–5).
Six patients (1.9%) of this group were converted to CMLC.
Eleven patients had controlled gallbladder perforations at dissection.
The Visual Analogue Scores for pain on postoperative days 0 and 7, the operative time, and the scar grades were significantly better for SSMPPLE than CMLC.
However, umbilical sepsis and seroma outcomes were similar.
We had no bile-duct injuries or port-site hernias in this study.
Conclusion.
SSMPPLE cholecystectomy approach complies with the principles of laparoscopic triangulation; it seems feasible and safe method of minimally invasive cholecystectomy.
Overall, it has a potential to emerge as an economically viable alternative to single-port surgery.
American Psychological Association (APA)
Jategaonkar, Priyadarshan Anand& Yadav, Sudeep Pradeep. 2014. Prospective Observational Study of Single-Site Multiport Per-umbilical Laparoscopic Endosurgery versus Conventional Multiport Laparoscopic Cholecystectomy: Critical Appraisal of a Unique Umbilical Approach. Minimally Invasive Surgery،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1044001
Modern Language Association (MLA)
Jategaonkar, Priyadarshan Anand& Yadav, Sudeep Pradeep. Prospective Observational Study of Single-Site Multiport Per-umbilical Laparoscopic Endosurgery versus Conventional Multiport Laparoscopic Cholecystectomy: Critical Appraisal of a Unique Umbilical Approach. Minimally Invasive Surgery No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-1044001
American Medical Association (AMA)
Jategaonkar, Priyadarshan Anand& Yadav, Sudeep Pradeep. Prospective Observational Study of Single-Site Multiport Per-umbilical Laparoscopic Endosurgery versus Conventional Multiport Laparoscopic Cholecystectomy: Critical Appraisal of a Unique Umbilical Approach. Minimally Invasive Surgery. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1044001
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1044001