A randomized pilot study on single-port versus conventional laparoscopic rectal surgery: effects on postoperative pain and the stress response to surgery

2014 ◽  
Vol 19 (1) ◽  
pp. 11-22 ◽  
Author(s):  
O. Bulut ◽  
K. K. Aslak ◽  
K. Levic ◽  
C. B. Nielsen ◽  
E. Rømer ◽  
...  
Keyword(s):  
Stress Response ◽  
Pilot Study ◽  
Postoperative Pain ◽  
Single Port ◽  
Rectal Surgery ◽  
Conventional Laparoscopic ◽  
Laparoscopic Rectal Surgery

scholarly journals Laparoendoscopic single-site compared with conventional laparoscopic surgery for gynaecological acute abdomen in pregnant women

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110539
Author(s):  
Danni Jiang ◽  
Yang Yang ◽  
Xinxin Zhang ◽  
Fang He ◽  
Yanxia Wu ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Hospital Stay ◽  
Acute Abdomen ◽  
Single Port ◽  
Single Site ◽  
Conventional Laparoscopic ◽  
Laparoendoscopic Single Site ◽  
Pain Scores ◽  
Scale Scores

Objective To estimate the safety and feasibility of laparoendoscopic single-site surgery (LESS) in pregnant patients with acute abdomen. Methods Baseline characteristics, surgical results, and obstetric and neonatal outcomes were retrospectively compared between single and multiport procedures in patients who underwent laparoscopic surgery during pregnancy between 2017 and 2021. Results Fifty-four pregnant patients were included: 26 who underwent LESS (salpingectomy, 11 cases/cystectomy, 15 cases) and 28 who underwent conventional laparoscopic surgeries (salpingectomy, 12 cases/cystectomy, 16 cases) during pregnancy. One patient in the single-port group required additional ports. No patients converted to laparotomy. In patients undergoing salpingectomy, the single-port group showed lower 8- and 24-h postoperative pain scores, shorter hospital stays, and lower Self-rating Anxiety Scale scores prior to discharge versus conventional laparoscopy. One patient experienced postoperative vaginal bleeding and a missed abortion during follow-up. In patients receiving cystectomy, 8- and 24-h pain scores, postoperative hospital stay, and anxiety scores were lower in the single-port versus multiport group. Other outcomes were comparable between the groups. Conclusion The feasibility and efficacy of laparoscopic surgery during pregnancy is similar between single- or multiport routes, however, the single-port route may be associated with less postoperative pain, shorter hospital stay, and lower anxiety.

Surgical Stress Response and Clinical Outcomes of Single Port Laparoscopic Cholecystectomy: Prospective Nonrandomized Study

2012 ◽  
Vol 78 (4) ◽  
pp. 485-491 ◽  
Author(s):  
Hyung Joon Han ◽  
Sae Byeol Choi ◽  
Wan Bae Kim ◽  
Jin-Suk Lee ◽  
Yoon Jung Boo ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Stress Response ◽  
Pain Score ◽  
Clinical Outcomes ◽  
Single Port ◽  
Operation Time ◽  
Conventional Group ◽  
Conventional Laparoscopic ◽  
Laparoscopic Cholecystectomy Group ◽  
The Mean

The levels of interleukin-6 (IL-6) are proportionate to injury; it is the most commonly used quantitative marker in surgical studies. Cytokines and the acute-phase response play an important role in controlling the human immune system. The objective of this study was to compare the systemic acute cytokine response and clinical outcomes of conventional laparoscopic and single port laparoscopic cholecystectomy. We compared patients who underwent single port laparoscopic cholecystectomy (the single port group) with patients who underwent conventional laparoscopic cholecystectomy (the conventional group) according to the clinical variables, IL-6, leukocyte subpopulations, and visual analog scale (VAS) pain score. The mean age in the single port group was significantly younger ( P = 0.010) and the mean operation time in the conventional group was significantly shorter ( P = 0.002). Postoperative 4-hour VAS pain score was slightly worse in the single port laparoscopic cholecystectomy group, but was not significantly different. We found no difference in clinical outcomes, the level of serum IL-6, C-reactive protein, leukocyte subpopulations, and complications between the two groups. Stress response in single port laparoscopic cholecystectomy is equal to conventional surgery. Postoperative 4-hour VAS pain score was slightly worse and the operation time is significantly longer in the single port laparoscopic cholecystectomy group.

scholarly journals Short-term outcomes of robotic-assisted laparoscopic rectal surgery: A pilot study during the introductory period at a local municipal hospital

2019 ◽  
Vol 3 (1) ◽  
pp. 27-35
Author(s):  
Toshisada Aiba ◽  
Keisuke Uehara ◽  
Taro Aoba ◽  
Kazuhiro Hiramatsu ◽  
Takehito Kato ◽  
...  
Keyword(s):  
Pilot Study ◽  
Rectal Surgery ◽  
Municipal Hospital ◽  
Short Term ◽  
Robotic Assisted ◽  
Laparoscopic Rectal Surgery

Robot-assisted laparoscopic rectal surgery: operative technique and initial experiences

2021 ◽  
Author(s):  
Bianka Hummel ◽  
Anna Nagel ◽  
Benjamin Süsoy ◽  
Linda Tarantik ◽  
Linda Michlmayr ◽  
...  
Keyword(s):  
Operative Technique ◽  
Rectal Surgery ◽  
Robot Assisted ◽  
Laparoscopic Rectal Surgery
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