Single port access for laparoscopic lateral segmentectomy

Yoshihiro Inoue; Mitsuhiro Asakuma; Fumitoshi Hirokawa; Michihiro Hayashi; Tetsunosuke Shimizu; Kazuhisa Uchiyama

doi:10.5114/wiitm.2017.70260

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Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Single port access for laparoscopic lateral segmentectomy

Yoshihiro Inoue

,

Mitsuhiro Asakuma

,

Fumitoshi Hirokawa

,

Michihiro Hayashi

,

Tetsunosuke Shimizu

,

Kazuhisa Uchiyama

Videosurgery Miniinv 2017; 12 (4): 357–365

DOI: https://doi.org/10.5114/wiitm.2017.70260

Online publish date: 2017/09/26

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Introduction: Single-port access laparoscopic lateral segmentectomy (LLS) has been developed as a novel minimally invasive surgery. We have experience with this LLS technique.

Aim: To report our technique and patients’ postoperative course in a series of single-port access LLS performed in our department. We also examine the cosmetic outcome, safety, and utility of the procedure.

Material and methods: Between February 2010 and October 2016, 54 patients who underwent single- or multiple-port laparoscopic or open lateral segmentectomy (LS) were retrospectively analyzed with respect to cosmetic outcome, safety, and utility.

Results: In the single LLS group, the laparoscopic procedure was successfully completed for all 14 patients. The median operative time was significantly shorter in the single LLS group (123 min; range: 50–270 min) than in the other groups. Estimated blood loss was also significantly lower in the single LLS group (10 ml; range: 0–330 ml). During the first 7 postoperative days, the visual analog scale pain score and the use of additional analgesia were not significantly different between groups. The single LLS group had a 7.1% complication rate (Clavien-Dindo classification > IIIA); this was not significantly different between groups.

Conclusions: Single-port access LLS is a procedure with excellent cosmetic results, although, with regard to invasiveness, there are no major differences from conventional LLS.

keywords:

Single port access for laparoscopic lateral segmentectomy

Yoshihiro Inoue , Mitsuhiro Asakuma , Fumitoshi Hirokawa , Michihiro Hayashi , Tetsunosuke Shimizu , Kazuhisa Uchiyama

single port access, laparoscopic lateral segmentectomy, cosmetics, visual analog scale, crossing hands technique

Yoshihiro Inoue

,

Mitsuhiro Asakuma

,

Fumitoshi Hirokawa

,

Michihiro Hayashi

,

Tetsunosuke Shimizu

,

Kazuhisa Uchiyama