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.	中国医师协会外科医师分会胆道外科医师委员会. 胆道手术加速康复外科专家共识(2016 版). 中华消化外科杂志, 2017, 16(1): 6-13.
8.	殷文渊, 王若曦, 伍奕, 等. 术后早期不同大脑区域灰质体积变化与乳腺癌根治术后慢性疼痛发生的关系. 中华麻醉学杂志, 2019, 39(6): 707-709.
9.	林树文, 方颖华, 莫志康, 等. 改良美容性腹腔镜胆囊切除术与标准术式的对比研究. 腹腔镜外科杂志, 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, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
15.	李蓓, 李宁, 叶辉, 等. 日间腹腔镜胆囊切除术的优势. 中国普外基础与临床杂志, 2014, 21(10): 1207-1211.
16.	李静, 李咏梅. 医保患者日间腹腔镜胆囊切除术的费用分析. 中国病案, 2012, 13(6): 41-43.
17.	沈火剑, 李可为, 季福, 等. 日间腹腔镜胆囊切除术的临床应用分析. 肝胆胰外科杂志, 2011, 23(1): 43-45.
18.	黄艳. 快速康复外科理念在日间腹腔镜胆囊切除术护理的应用及效果评价. 中国卫生标准管理, 2017, 8(27): 181-182.
19.	胡优, 陈昕, 朱政, 等. 日间手术诊疗模式的探索附59例腹腔镜胆囊切除术病例分析. 国际外科学杂志, 2017, 44(1): 20-23.
20.	赵森峰, 李向军, 豆松萌, 等. 5 771 例日间腹腔镜胆囊切除术的安全性和经济效益分析. 中华肝脏外科手术学电子杂志, 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.	陆文, 范晴敏, 曹冀为, 等. 单孔腹腔镜胆囊切除术的疗效及缺陷. 中华肝胆外科杂志, 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, 肖刚, 等. 单孔腹腔镜胆囊逆行切除术的学习曲线分析. 中国普外基础与临床杂志, 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. 中国医师协会外科医师分会胆道外科医师委员会. 胆道手术加速康复外科专家共识(2016 版). 中华消化外科杂志, 2017, 16(1): 6-13.
8. 殷文渊, 王若曦, 伍奕, 等. 术后早期不同大脑区域灰质体积变化与乳腺癌根治术后慢性疼痛发生的关系. 中华麻醉学杂志, 2019, 39(6): 707-709.
9. 林树文, 方颖华, 莫志康, 等. 改良美容性腹腔镜胆囊切除术与标准术式的对比研究. 腹腔镜外科杂志, 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, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
15. 李蓓, 李宁, 叶辉, 等. 日间腹腔镜胆囊切除术的优势. 中国普外基础与临床杂志, 2014, 21(10): 1207-1211.
16. 李静, 李咏梅. 医保患者日间腹腔镜胆囊切除术的费用分析. 中国病案, 2012, 13(6): 41-43.
17. 沈火剑, 李可为, 季福, 等. 日间腹腔镜胆囊切除术的临床应用分析. 肝胆胰外科杂志, 2011, 23(1): 43-45.
18. 黄艳. 快速康复外科理念在日间腹腔镜胆囊切除术护理的应用及效果评价. 中国卫生标准管理, 2017, 8(27): 181-182.
19. 胡优, 陈昕, 朱政, 等. 日间手术诊疗模式的探索附59例腹腔镜胆囊切除术病例分析. 国际外科学杂志, 2017, 44(1): 20-23.
20. 赵森峰, 李向军, 豆松萌, 等. 5 771 例日间腹腔镜胆囊切除术的安全性和经济效益分析. 中华肝脏外科手术学电子杂志, 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. 陆文, 范晴敏, 曹冀为, 等. 单孔腹腔镜胆囊切除术的疗效及缺陷. 中华肝胆外科杂志, 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, 肖刚, 等. 单孔腹腔镜胆囊逆行切除术的学习曲线分析. 中国普外基础与临床杂志, 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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