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SILC for SILC : Single Institution Learning Curve for Single-Incision Laparoscopic Cholecystectomy
Joint Authors
Hartman, Mikael
Tay, Chee Wei
Chang, Stephen Kin Yong
Madhavan, Krishnakumar
Shen, Liang
Iyer, Shridhar Ganpathi
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objectives.
We report the single-incision laparoscopic cholecystectomy (SILC) learning experience of 2 hepatobiliary surgeons and the factors that could influence the learning curve of SILC.
Methods.
Patients who underwent SILC by Surgeons A and B were studied retrospectively.
Operating time, conversion rate, reason for conversion, identity of first assistants, and their experience with previous laparoscopic cholecystectomy (LC) were analysed.
CUSUM analysis is used to identify learning curve.
Results.
Hundred and nineteen SILC cases were performed by Surgeons A and B, respectively.
Eight cases required additional port.
In CUSUM analysis, most conversion occurred during the first 19 cases.
Operating time was significantly lower (62.5 versus 90.6 min, P = 0.04) after the learning curve has been overcome.
Operating time decreases as the experience increases, especially Surgeon B.
Most conversions are due to adhesion at Calot’s triangle.
Acute cholecystitis, patients’ BMI, and previous surgery do not seem to influence conversion rate.
Mean operating times of cases assisted by first assistant with and without LC experience were 48 and 74 minutes, respectively (P = 0.004).
Conclusion.
Nineteen cases are needed to overcome the learning curve of SILC.
Team work, assistant with CLC experience, and appropriate equipment and technique are the important factors in performing SILC.
American Psychological Association (APA)
Tay, Chee Wei& Shen, Liang& Hartman, Mikael& Iyer, Shridhar Ganpathi& Madhavan, Krishnakumar& Chang, Stephen Kin Yong. 2013. SILC for SILC : Single Institution Learning Curve for Single-Incision Laparoscopic Cholecystectomy. Minimally Invasive Surgery،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-467592
Modern Language Association (MLA)
Tay, Chee Wei…[et al.]. SILC for SILC : Single Institution Learning Curve for Single-Incision Laparoscopic Cholecystectomy. Minimally Invasive Surgery No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-467592
American Medical Association (AMA)
Tay, Chee Wei& Shen, Liang& Hartman, Mikael& Iyer, Shridhar Ganpathi& Madhavan, Krishnakumar& Chang, Stephen Kin Yong. SILC for SILC : Single Institution Learning Curve for Single-Incision Laparoscopic Cholecystectomy. Minimally Invasive Surgery. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-467592
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-467592