Application of single incision laparoscopic cholecystectomy in day surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIANG Zhanqiang , ZHU Bingshuai , MENG Dongdong , SHEN Xiwen , YIN Feifei , LIANG Make ,  LI Xuemin

Department of Hepatobiliary and Pancreatic Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, P. R. China;

Corresponding?author：

LI Xuemin, Email: doctorlcy@163.com

Keywords：

benign gallbladder diseases; single incision; laparoscope; day surgery

DOI：

10.7507/1007-9424.202002109

Video：

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Objective To investigate the value of single incision laparoscopic cholecystectomy in the operation of benign diseases of the gallbladder in day surgery.Method The clinical data of 105 patients underwent the single incision laparoscopic cholecystectomy in the Day Operation Center of Zhengzhou Central Hospital of Zhengzhou University from March 2017 to December 2018 were retrospectively analyzed.Results The single incision laparoscopic cholecystectomies were successfully performed in 105 patients with benign gallbladder diseases, including 65 cases of gallbladder stones, 26 cases of gallbladder polyps, 14 cases of gallbladder adenomyosis; 45 cases of men and 60 cases of women. In all cases, no incision was increased or no case was converted to laparotomy. No bile duct injury and intra-abdominal bleeding happened during the operation. All patients were discharged overnight (no more than 24 h) after the surgery and without delayed discharge and re-admission. The intraoperative blood loss was (10.3±3.5) mL, and the operation time was (55.0±25.5) min (from laparoscopy to gallbladder removal). The postoperative pain score was 1–2 and 0–1 on day 1 and on day 3 after the surgery, respectively. The postoperative incision cosmetic satisfaction score on month 6 after the operation was 4.5±0.5.Conclusion Single incision laparoscopic cholecystectomy is safe and feasible for benign gallbladder disease during day surgery.

Citation： LIANG Zhanqiang, ZHU Bingshuai, MENG Dongdong, SHEN Xiwen, YIN Feifei, LIANG Make, LI Xuemin. Application of single incision laparoscopic cholecystectomy in day surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(12): 1522-1525. doi: 10.7507/1007-9424.202002109 Copy

1.	Song ST, Shi J, Wang XH, et al. Prevalence and risk factors for gallstone disease: a population-based cross-sectional study. J Dig Dis, 2020 Mar 12. doi: 10.1111/1751-2980.12857.
2.	European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice. eu. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol, 2016, 65(1): 146-181.
3.	Zheng YM, Bai XS, Yao GB, et al. Risk factors of gallbladder polyps formation in East Asian population: a meta-analysis and systematic review. Asian J Surg, 2020, 43(1): 52-59.
4.	Al-Omani S, Almodhaiberi H, Ali B, et al. Feasibility and safety of day-surgery laparoscopic cholecystectomy: a single-institution 5-year experience of 1 140 cases. Korean J Hepatobiliary Pancreat Surg, 2015, 19(3): 109-112.
5.	Mc Gillicuddy JW, Villar JJE, Rohan VS, et al. Is cirrhosis a contraindication to laparoscopic cholecystectomy? Am Surg, 2015, 81(1): 52-55.
6.	Planells Roig M, Garcia Espinosa R, Cervera Delgado M, et al. Ambulatory laparoscopic cholecystectomy. A cohort study of 1 600 consecutive cases. Cir Esp, 2013, 91(3): 156-162.
7.	中國醫師協會外科醫師分會膽道外科醫師委員會. 膽道手術加速康復外科專家共識(2016 版). 中華消化外科雜志, 2017, 16(1): 6-13.
8.	殷文淵, 王若曦, 伍奕, 等. 術后早期不同大腦區域灰質體積變化與乳腺癌根治術后慢性疼痛發生的關系. 中華麻醉學雜志, 2019, 39(6): 707-709.
9.	林樹文, 方穎華, 莫志康, 等. 改良美容性腹腔鏡膽囊切除術與標準術式的對比研究. 腹腔鏡外科雜志, 2019, 24(7): 516-518.
10.	Roig MP, Espinosa RG, Delgado MC, et al. Ambulatory laparoscopic cholecystectomy. A cohort study of 1 600 consecutive cases. Observational Study Cir Esp, 2013, 91(3): 156-162.
11.	Bueno Lledó J, Granero Castro P, Gomez I Gavara I, et al. Twenty-five years of ambulatory laparoscopic cholecystectomy. Cir Esp, 2016, 94(8): 429-441.
12.	Lombari P, Carlomagno N, Ricci G, et al. Laparoscopic cholecystectomy in day surgery//Laparoscopic cholecystectomy. Switzerl and Springer International Publishing, 2014: 131-139.
13.	Philip BK. Day care surgery: The United States MODEL OF HEALTH Care. Acad J, 2012, 17(4): 81-82.
14.	白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
15.	李蓓, 李寧, 葉輝, 等. 日間腹腔鏡膽囊切除術的優勢. 中國普外基礎與臨床雜志, 2014, 21(10): 1207-1211.
16.	李靜, 李詠梅. 醫保患者日間腹腔鏡膽囊切除術的費用分析. 中國病案, 2012, 13(6): 41-43.
17.	沈火劍, 李可為, 季福, 等. 日間腹腔鏡膽囊切除術的臨床應用分析. 肝膽胰外科雜志, 2011, 23(1): 43-45.
18.	黃艷. 快速康復外科理念在日間腹腔鏡膽囊切除術護理的應用及效果評價. 中國衛生標準管理, 2017, 8(27): 181-182.
19.	胡優, 陳昕, 朱政, 等. 日間手術診療模式的探索附59例腹腔鏡膽囊切除術病例分析. 國際外科學雜志, 2017, 44(1): 20-23.
20.	趙森峰, 李向軍, 豆松萌, 等. 5 771 例日間腹腔鏡膽囊切除術的安全性和經濟效益分析. 中華肝臟外科手術學電子雜志, 2018, 7(3): 193-196.
21.	Solomon D, Bell RL, Duffy AJ, et al. Single-port cholecystectomy: small scar, short learning curve. Surg Endosc, 2010, 24(12): 2954-2957.
22.	陸文, 范晴敏, 曹冀為, 等. 單孔腹腔鏡膽囊切除術的療效及缺陷. 中華肝膽外科雜志, 2018, 24(8): 569-571.
23.	Pan MX, Liang ZW, Cheng Y, et al. Learning curve of transumbilical suture-suspension single-incision laparoscopic cholecystectomy. World J Gastroenterol, 2013, 19(29): 4786-4790.
24.	于宏, 王越市, 肖剛, 等. 單孔腹腔鏡膽囊逆行切除術的學習曲線分析. 中國普外基礎與臨床雜志, 2017, 24(6): 750-753.

1. Song ST, Shi J, Wang XH, et al. Prevalence and risk factors for gallstone disease: a population-based cross-sectional study. J Dig Dis, 2020 Mar 12. doi: 10.1111/1751-2980.12857.
2. European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice. eu. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol, 2016, 65(1): 146-181.
3. Zheng YM, Bai XS, Yao GB, et al. Risk factors of gallbladder polyps formation in East Asian population: a meta-analysis and systematic review. Asian J Surg, 2020, 43(1): 52-59.
4. Al-Omani S, Almodhaiberi H, Ali B, et al. Feasibility and safety of day-surgery laparoscopic cholecystectomy: a single-institution 5-year experience of 1 140 cases. Korean J Hepatobiliary Pancreat Surg, 2015, 19(3): 109-112.
5. Mc Gillicuddy JW, Villar JJE, Rohan VS, et al. Is cirrhosis a contraindication to laparoscopic cholecystectomy? Am Surg, 2015, 81(1): 52-55.
6. Planells Roig M, Garcia Espinosa R, Cervera Delgado M, et al. Ambulatory laparoscopic cholecystectomy. A cohort study of 1 600 consecutive cases. Cir Esp, 2013, 91(3): 156-162.
7. 中國醫師協會外科醫師分會膽道外科醫師委員會. 膽道手術加速康復外科專家共識(2016 版). 中華消化外科雜志, 2017, 16(1): 6-13.
8. 殷文淵, 王若曦, 伍奕, 等. 術后早期不同大腦區域灰質體積變化與乳腺癌根治術后慢性疼痛發生的關系. 中華麻醉學雜志, 2019, 39(6): 707-709.
9. 林樹文, 方穎華, 莫志康, 等. 改良美容性腹腔鏡膽囊切除術與標準術式的對比研究. 腹腔鏡外科雜志, 2019, 24(7): 516-518.
10. Roig MP, Espinosa RG, Delgado MC, et al. Ambulatory laparoscopic cholecystectomy. A cohort study of 1 600 consecutive cases. Observational Study Cir Esp, 2013, 91(3): 156-162.
11. Bueno Lledó J, Granero Castro P, Gomez I Gavara I, et al. Twenty-five years of ambulatory laparoscopic cholecystectomy. Cir Esp, 2016, 94(8): 429-441.
12. Lombari P, Carlomagno N, Ricci G, et al. Laparoscopic cholecystectomy in day surgery//Laparoscopic cholecystectomy. Switzerl and Springer International Publishing, 2014: 131-139.
13. Philip BK. Day care surgery: The United States MODEL OF HEALTH Care. Acad J, 2012, 17(4): 81-82.
14. 白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
15. 李蓓, 李寧, 葉輝, 等. 日間腹腔鏡膽囊切除術的優勢. 中國普外基礎與臨床雜志, 2014, 21(10): 1207-1211.
16. 李靜, 李詠梅. 醫保患者日間腹腔鏡膽囊切除術的費用分析. 中國病案, 2012, 13(6): 41-43.
17. 沈火劍, 李可為, 季福, 等. 日間腹腔鏡膽囊切除術的臨床應用分析. 肝膽胰外科雜志, 2011, 23(1): 43-45.
18. 黃艷. 快速康復外科理念在日間腹腔鏡膽囊切除術護理的應用及效果評價. 中國衛生標準管理, 2017, 8(27): 181-182.
19. 胡優, 陳昕, 朱政, 等. 日間手術診療模式的探索附59例腹腔鏡膽囊切除術病例分析. 國際外科學雜志, 2017, 44(1): 20-23.
20. 趙森峰, 李向軍, 豆松萌, 等. 5 771 例日間腹腔鏡膽囊切除術的安全性和經濟效益分析. 中華肝臟外科手術學電子雜志, 2018, 7(3): 193-196.
21. Solomon D, Bell RL, Duffy AJ, et al. Single-port cholecystectomy: small scar, short learning curve. Surg Endosc, 2010, 24(12): 2954-2957.
22. 陸文, 范晴敏, 曹冀為, 等. 單孔腹腔鏡膽囊切除術的療效及缺陷. 中華肝膽外科雜志, 2018, 24(8): 569-571.
23. Pan MX, Liang ZW, Cheng Y, et al. Learning curve of transumbilical suture-suspension single-incision laparoscopic cholecystectomy. World J Gastroenterol, 2013, 19(29): 4786-4790.
24. 于宏, 王越市, 肖剛, 等. 單孔腹腔鏡膽囊逆行切除術的學習曲線分析. 中國普外基礎與臨床雜志, 2017, 24(6): 750-753.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of single incision laparoscopic cholecystectomy in day surgery

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