The chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study
DC Field | Value | Language |
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dc.contributor.author | Lee, Woohyung | - |
dc.contributor.author | Roh, Young Hoon | - |
dc.contributor.author | Kang, Sung Hwa | - |
dc.contributor.author | Kim, Chung Yun | - |
dc.contributor.author | Choi, YoungRok | - |
dc.contributor.author | Han, Ho-Seong | - |
dc.contributor.author | Han, Hyung Joon | - |
dc.contributor.author | Song, Tae-Jin | - |
dc.contributor.author | Kang, Chang Moo | - |
dc.contributor.author | Lee, Woo Jung | - |
dc.contributor.author | Choi, Sung Hoon | - |
dc.contributor.author | Jeong, Sung Yub | - |
dc.contributor.author | Hong, Tae Ho | - |
dc.contributor.author | You, Young Kyoung | - |
dc.contributor.author | Lee, Jae Hoon | - |
dc.contributor.author | Moon, Ju lk | - |
dc.contributor.author | Choi, In Seok | - |
dc.date.accessioned | 2021-12-07T16:41:53Z | - |
dc.date.available | 2021-12-07T16:41:53Z | - |
dc.date.created | 2021-08-30 | - |
dc.date.issued | 2021 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/130126 | - |
dc.description.abstract | Background Although single-incision laparoscopic cholecystectomy (SILC) is a common procedure, the change in its surgical indications and perioperative outcomes has not been analyzed. Methods We collected the clinical data of patients who underwent pure SILC in 9 centers between 2009 and 2018 and compared the perioperative outcomes. Results In this period, 6497 patients underwent SILC. Of these, 2583 were for gallbladder (GB) stone (39.7%), 774 were for GB polyp (11.9%), 994 were for chronic cholecystitis (15.3%), and 1492 were for acute cholecystitis (AC) (23%). 162 patients (2.5%) experienced complication, including 20 patients (0.2%) suffering from biliary leakage. The number of patients who underwent SILC for AC increased over time (p = 0.028), leading to an accumulation of experience (27.4 vs 23.7%,p = 0.002). The patients in late period were more likely to have undergone a previous laparotomy (29.5 vs 20.2%,p = 0.006), and to have a shorter operation time (47.0 vs 58.8 min,p < 0.001). Male (odds ratio [OR]; 1.673, 95% confidence interval [CI] 1.090-2.569,p = 0.019) and moderate or severe acute cholecystitis (OR; 2.602, 95% CI 1.677-4.037,p < 0.001) were independent predictive factors for gallbladder perforation during surgery, and open conversion (OR; 5.793, 95% CI 3.130-10.721,p < 0.001) and pathologically proven acute cholecystitis or empyema (OR; 4.107, 95% CI 2.461-6.854,p < 0.001) were related with intraoperative gallbladder perforation Conclusion SILC has expanded indication in late period. In this period, the patients had shorter operation times and a similar rate of severe complications, despite there being more numerous patients with AC. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.subject | PORT | - |
dc.title | The chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Han, Hyung Joon | - |
dc.identifier.doi | 10.1007/s00464-020-07748-5 | - |
dc.identifier.scopusid | 2-s2.0-85087074950 | - |
dc.identifier.wosid | 000543051000001 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, v.35, no.6, pp.3025 - 3032 | - |
dc.relation.isPartOf | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.citation.title | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.citation.volume | 35 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 3025 | - |
dc.citation.endPage | 3032 | - |
dc.type.rims | ART | - |
dc.type.docType | Article; Early Access | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | PORT | - |
dc.subject.keywordAuthor | Single-incision laparoscopic cholecystectomy | - |
dc.subject.keywordAuthor | Surgical indication | - |
dc.subject.keywordAuthor | Acute cholecystitis | - |
dc.subject.keywordAuthor | Postoperative complication | - |
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