ArticleWorld journal of gastroenterology2013
Learning curve of transumbilical suture-suspension single-incision laparoscopic cholecystectomy.
Article in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Single-incision laparoscopic cholecystectomy with inflexible laparoscopic instruments and laparoscopy: a single-center experience of 533 cases.BMC surgery · 2025Article
- Magnetic anchor technique assisted laparoscopic cholecystectomy in swine.Scientific reports · 2023Article
- Clinical application of magnetic anchor technique in laparoscopic cholecystectomy: the first retrospective study in China.Frontiers in surgery · 2023Article
- Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases.Journal of minimally invasive surgery · 2022Article
- Solo single incision laparoscopic cholecystectomy using the parallel method; Surgical technique reducing a steep learning curve.Annals of hepato-biliary-pancreatic surgery · 2019Article
- Single-Incision and Natural Orifice Translumenal Endoscopic Surgery in Switzerland.World journal of surgery · 2017Article
- Single-incision laparoscopic surgery for biliary tract disease.World journal of gastroenterology · 2016Review
- The learning curve of single-port laparoscopic appendectomy performed by emergent operation.World journal of emergency surgery : WJES · 2016Article
- Use of a multi-instrument access device in abdominoperineal resections.Journal of minimal access surgeryArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo investigate the learning curve of transumbilical suture-suspension single-incision laparoscopic cholecystectomy (SILC).
methodsThe clinical data of 180 consecutive transumbilical suture-suspension SILCs performed by a team in our department during the period from August 2009 to March 2011 were retrospectively analyzed. Patients were divided into nine groups according to operation dates, and each group included 20 patients operated on consecutively in each time period. The surgical outcome was assessed by comparing operation time, blood loss during operation, and complications between groups in order to evaluate the improvement in technique.
resultsA total of 180 SILCs were successfully performed by five doctors. The average operation time was 53.58 ± 30.08 min (range: 20.00-160.00 min) and average blood loss was 12.70 ± 11.60 mL (range: 0.00-100.00 mL). None of the patients were converted to laparotomy or multi-port laparoscopic cholecystectomy. There were no major complications such as hemorrhage or biliary system injury during surgery. Eight postoperative complications occurred mainly in the first three groups (n = 6), and included ecchymosis around the umbilical incision (n = 7) which resolved without special treatment, and one case of delayed bile leakage in group 8, which was treated by ultrasound-guided puncture and drainage. There were no differences in intraoperative blood loss, postoperative complications and length of postoperative hospital stay among the groups. Bonferroni's test showed that the operation time in group 1 was significantly longer than that in the other groups (F = 7.257, P = 0.000). The majority of patients in each group were discharged within 2 d, with an average postoperative hospital stay of 1.9 ± 1.2 d.
conclusionFollowing scientific principles and standard procedures, a team experienced in multi-port laparoscopic cholecystectomy can master the technique of SILC after 20 cases.
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