Using the assembled needle instruments for the novel single incision laparoscopic cholecystectomy

doi:10.3877/cma.j.issn.1674-6899.2018.05.012

Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2018, Vol. 11 ›› Issue (05): 310-312. doi: 10.3877/cma.j.issn.1674-6899.2018.05.012

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• Short Original Article • Previous Articles Next Articles

Using the assembled needle instruments for the novel single incision laparoscopic cholecystectomy

Mingguo Tian ¹ ^, ^†( ), Dong Jia ¹, Haitao Yang ², Mingqi Liu ¹, Yong Yang ¹, Xiongwei Fan ²

^1. Department of Hepatobiliary Surgery, the People′s Hospital of Ning Xia Autonomous Region, Yinchuan 750002, China
^2. Department of Minimally Invasive Surgery, the People′s Hospital of Wu Zhong City, Wuzhong 751000, China

Received:2018-06-16 Online:2018-10-30 Published:2018-10-30
Contact: Mingguo Tian
About author:
Corresponding author: Tian Mingguo, Email: tian88@hotmail.com

Abstract

Abstract:

Objective

To summarize the effect of the assembled needle instruments(ANIs)used in the novel single incision laparoscopic cholecystectomy(SILC).

Methods

The data of 24 cases who had accepted the novel SILC with ANIs were retrospectively studied. Both the manipulating poles of the assembled needle exposing hook and the assembled needle electric coagulating hook were directly inserted to the peritoneal cavity at mid-clavicle line subcostally and sub-xiphoid process. After connecting with the hook heads inside, the gallbladder fundus serosa was retracted and the gallbladder was dissected by electric hook.

Results

In 24 cases performed with SILC, 3 cases required adding another port with adding port rate of 12.5%. There was no conversion to open surgery. The novel SILC was accomplished in 21 cases(87.5%) with operative time of(55.2±21.5)min and operative bleeding of(6.4±12.3)ml. Postoperative complications such as bile leak, bleeding and bile duct injury did not occur.

Conclusions

Combination of the assembled needle exposing hook and assembled needle electric coagulating hook can make the novel SILC with ease.

Key words: Assembled needle instruments, SILC

Mingguo Tian, Dong Jia, Haitao Yang, Mingqi Liu, Yong Yang, Xiongwei Fan. Using the assembled needle instruments for the novel single incision laparoscopic cholecystectomy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(05): 310-312.

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Figures/Tables 3

References 18

1	Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoscopic cholecystectomy[J]. Br J Surg, 1997，84(5):695-697.
2	蒋泽生，程远，徐小平．吊线法与三器械法单孔腹腔镜胆囊切除术比较[J]．中华医学杂志，2013，93(6):455-458.
3	Hirano Y, Watanabe T, Uchida T，et al. Single-incision laparoscopic cholecystectomy: single institution experience and literature review[J]．World J Gastroenterol, 2010, 14,16(2): 270-274.
4	李强，王建华．自制立体牵引装置在单孔腹腔镜胆囊切除中的应用[J/CD]．中华腔镜外科杂志(电子版)，2012，5(2):50-52.
5	Shussman N, Schlager A, Elazary R，et al. Single-incision laparoscopic cholecystectomy: lessons learned for success[J]．Surg Endosc，2011, 25(2): 404-407.
6	Dominguez G, Durand L, De Rosa J，et al. Retraction and triangulation with neodymium magnetic forceps for single-port laparoscopic cholecystectomy[J]．Surg Endosc，2009，23(7):1660-1666.
7	李强，王建华，赵占红．磁性牵引装置在小型家猪单孔腹腔镜胆囊切除术中的应用[J]. 山东医药，2016, 56 (1):40-41.
8	Yin H, Wang Z, Xu J，et al. A specific instrument to facilitate single-incision laparoscopic cholecystectomy：an initial experience[J]. Surg Innov, 2011，18(3):289-293.
9	Dapri G, Casali L, Bruyns J，et al. Single-access laparoscopic surgery using new curved reusable instru-ments: initial hundred patients[J]. Surg Technol Int, 2010，20(10):21-35.
10	田明国．胆囊底缝线牵引两孔免夹法腹腔镜胆囊切除术的操作体会[J]．腹腔镜外科杂志，2006，21(9)685-687.
11	Tian MG, ZhangPJ, YangY, et al. Two-port laparoscopic cholecystectomy using a puncturing exposure stick: a more practical approach[J]．Journal of Minimally Invasive Surgery，2013，9(3):122-125.
12	韩金岩，吴硕东，田雨．完全经脐单孔腹腔镜胆囊切除术30例临床应用分析[J/CD]．中华腔镜外科杂志(电子版), 2009，2 (1):28-34.
13	Sodergren M, McGregor C, Farne HA, al. A randomised comparative study evaluating learning curve of novices in a basic single-incision laparoscopic surgerytask[J]. J Gastrointest Surg，2013，17(3):567-575.
14	Sinha R. Transumbilical single-incision laparoscopic cholecys-tectomy with conventional instruments and ports: the way forward[J]. J Laparoendosc Adv Surg Tech A, 2011，21(6):497-503.
15	Garcia-Henriquez N, Shah SR, Kane TD. Single-incision lapa-roscopic cholecystectomy in children using standard straight instruments: a surgeon′s early experience[J]. J Laparoendosc Adv Surg Tech A, 2011，21(6):555-559.
16	Cantore F, Colombo EM, Giuseppe MD，et al. Single access cholecystectomy using standard laparoscopic instruments[J]. Updates Surg，2011，63(1):31-34.
17	吴硕东．经脐单孔腹腔镜胆囊切除术的手术技巧与要点[J]. 腹腔镜外科杂志，2013, 18(3): 161-162.
18	李建平．应用直形器械经脐单孔腹腔镜胆囊切除术[J]．中华肝胆外科杂志，2011，17(3):268-269.

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