needlescopic cholecystectomy
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2018 ◽  
Vol 36 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Akira Umemura ◽  
Takayuki Suto ◽  
Seika Nakamura ◽  
Hisataka Fujiwara ◽  
Fumitaka Endo ◽  
...  

Background: Both single-incision laparoscopic cholecystectomy (SILC) and needlescopic cholecystectomy (NSC) are superior to conventional laparoscopic cholecystectomy in terms of cosmetic outcome and incisional pain. We conducted a prospective, randomized clinical trial to evaluate the surgical outcome, postoperative pain, and cosmetic outcome for SILC and NSC procedures. Methods: In this trial, 105 patients were enrolled (52 in the SILC group; 53 in the NSC group). A visual analogue scale (VAS) was used to evaluate the cosmetic outcome and incisional pain for patients. Logistic regression analyses were used to evaluate the operative difficulty that was present for both procedures. Results: There were no significant differences in patient characteristics or surgical outcomes, including operative time and blood loss. The mean VAS scores for cosmetic satisfaction were similar in both groups. There were significant differences in the mean VAS scores for incisional pain on postoperative day 1 (p = 0.009), and analgesics were required within 12 h of surgery (p = 0.007). Obesity (body mass index ≥25 kg/m2) was the only significant influential factor for operating time over 100 min (p = 0.031). Conclusion: NSC is superior to SILC in terms of short-term incisional pain. Experienced laparoscopic surgeons can perform both SILC and NSC without an increase in operative time.


2015 ◽  
Vol 221 (4) ◽  
pp. e87
Author(s):  
Montserrat Guraieb-Trueba ◽  
Jose A. Diaz-Elizondo ◽  
Eduardo A. Flores-Villalba ◽  
Jeffrey L. Glass ◽  
Morris E. Franklin

2015 ◽  
Vol 261 (3) ◽  
pp. 451-458 ◽  
Author(s):  
Dirk Rolf Bulian ◽  
Jürgen Knuth ◽  
Nicola Cerasani ◽  
Axel Sauerwald ◽  
Rolf Lefering ◽  
...  

2013 ◽  
Vol 04 (12) ◽  
pp. 530-534 ◽  
Author(s):  
Kenju Ko ◽  
Shigetoshi Yamada ◽  
Ken Hayashi ◽  
Akira Tsunoda ◽  
Hiroshi Kusanagi ◽  
...  

2011 ◽  
Vol 43 (6) ◽  
pp. 374-377
Author(s):  
S. Uranues ◽  
G. Tomasch ◽  
D. Nagele-Moser

2006 ◽  
Vol 16 (3) ◽  
pp. 247-250
Author(s):  
Ka-Lung Fok ◽  
Chi-Ming Poon ◽  
Kin-Wan Lee ◽  
Heng-Tat Leong

2004 ◽  
Vol 18 (10) ◽  
pp. 1480-1484 ◽  
Author(s):  
P.-C. Lee ◽  
I.-R. Lai ◽  
S.-C. Yu

Surgery Today ◽  
1998 ◽  
Vol 28 (1) ◽  
pp. 111-113 ◽  
Author(s):  
Jun-ichi Tanaka ◽  
Hideaki Andoh ◽  
Kenji Koyama

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