Standardized single-incision plus one-port laparoscopic left lateral sectionectomy: a safe alternative to the conventional procedure View Full Text


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Article Info

DATE

2021-12-06

AUTHORS

Hirokatsu Katagiri, Hiroyuki Nitta, Takeshi Takahara, Yasushi Hasegawa, Syoji Kanno, Akira Umemura, Daiki Takeda, Kenji Makabe, Koji Kikuchi, Taku Kimura, Shingo Yanari, Akira Sasaki

ABSTRACT

PurposeLaparoscopic left lateral sectionectomy (LLLS) is a feasible and safe procedure with a relatively smooth learning curve. However, single-incision LLLS requires extensive surgical experience and advanced techniques. The aim of this study is to report the standardized single-incision plus one-port LLLS (reduced port LLLS, RPLLLS) technique and evaluate its safety, feasibility, and effectiveness for junior surgeons.MethodsBetween January 2008 and November 2020, the clinical records of 49 patients who underwent LLLS, divided into the conventional LLLS (n = 37) and the RPLLLS group (n = 12), were retrospectively reviewed. The patient characteristics, pathologic results, and operative outcomes were evaluated.ResultsA history of previous abdominal surgery in the RPLLLS group was significantly high (56.8% vs. 91.7%, p = 0.552). Notably, junior surgeons performed 62.2% of the conventional LLLSs and 58.4% of the standardized RPLLLSs. There were no significant differences between the two groups in terms of median operative time (121.0 vs. 113.5, p = 0.387), median blood loss (13.0 vs. 8.5, p = 0.518), median length of hospital stays (7.0 vs. 7.0, p = 0.408), and morbidity rate (2.7% vs. 0%, p = 0.565), respectively.ConclusionThis standardized RPLLLS is a feasible and safe alternative to conventional LLLS and may become the ideal training procedure for both junior surgeons and surgeons aiming to learn more complex procedures. More... »

PAGES

1-8

References to SciGraph publications

  • 2012-12-27. Quality-of-life measures after single-access versus conventional laparoscopic cholecystectomy: a prospective randomized study in SURGICAL ENDOSCOPY
  • 2009-05-23. Laparoscopic liver sectionectomy 2 and 3 (LLS 2 and 3): towards the “gold standard” in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2019-08-05. Learning Curve in Laparoscopic Liver Resection, Educational Value of Simulation and Training Programmes: A Systematic Review in WORLD JOURNAL OF SURGERY
  • 2019-09-03. Long-term and short-term surgical outcomes of single-incision laparoscopic hepatectomy on anterolateral liver segments in SURGICAL ENDOSCOPY
  • 1996-07. Laparoscopic anatomical (hepatic) left lateral segmentectomy—technical aspects in SURGICAL ENDOSCOPY
  • 2012-01-26. Laparoendoscopic single site (LESS) surgery for left-lateral hepatic sectionectomy as an alternative to traditional laparoscopy: case-matched analysis from a single center in SURGICAL ENDOSCOPY
  • 2011-12-17. Extending the limitations of liver surgery: outcomes of initial human experience in a high-volume center performing single-port laparoscopic liver resection for hepatocellular carcinoma in SURGICAL ENDOSCOPY
  • 2014-05-28. Single-Port and Multi-Port Laparoscopic Left Lateral Liver Sectionectomy for Treating Benign Liver Diseases: A Prospective, Randomized, Controlled Study in WORLD JOURNAL OF SURGERY
  • 2016-06-10. Safely extending the indications of laparoscopic liver resection: When should we start laparoscopic major hepatectomy? in SURGICAL ENDOSCOPY
  • 2014-01-08. Laparoscopic liver resection and the learning curve: a 14-year, single-center experience in SURGICAL ENDOSCOPY
  • 2011-12-18. Single-port laparoscopic hepatectomy: technique, safety, and feasibility in a clinical case series in SURGICAL ENDOSCOPY
  • 2019-01-11. Single-Port Inflatable Mediastinoscopy Combined With Laparoscopic-Assisted Small Incision Surgery for Radical Esophagectomy Is an Effective and Safe Treatment for Esophageal Cancer in JOURNAL OF GASTROINTESTINAL SURGERY
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    http://scigraph.springernature.com/pub.10.1007/s00423-021-02340-4

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    http://dx.doi.org/10.1007/s00423-021-02340-4

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    18 schema:description Abstract PurposeLaparoscopic left lateral sectionectomy (LLLS) is a feasible and safe procedure with a relatively smooth learning curve. However, single-incision LLLS requires extensive surgical experience and advanced techniques. The aim of this study is to report the standardized single-incision plus one-port LLLS (reduced port LLLS, RPLLLS) technique and evaluate its safety, feasibility, and effectiveness for junior surgeons.MethodsBetween January 2008 and November 2020, the clinical records of 49 patients who underwent LLLS, divided into the conventional LLLS (n = 37) and the RPLLLS group (n = 12), were retrospectively reviewed. The patient characteristics, pathologic results, and operative outcomes were evaluated.ResultsA history of previous abdominal surgery in the RPLLLS group was significantly high (56.8% vs. 91.7%, p = 0.552). Notably, junior surgeons performed 62.2% of the conventional LLLSs and 58.4% of the standardized RPLLLSs. There were no significant differences between the two groups in terms of median operative time (121.0 vs. 113.5, p = 0.387), median blood loss (13.0 vs. 8.5, p = 0.518), median length of hospital stays (7.0 vs. 7.0, p = 0.408), and morbidity rate (2.7% vs. 0%, p = 0.565), respectively.ConclusionThis standardized RPLLLS is a feasible and safe alternative to conventional LLLS and may become the ideal training procedure for both junior surgeons and surgeons aiming to learn more complex procedures.
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    24 LLL
    25 LLLS
    26 PurposeLaparoscopic
    27 ResultsA history
    28 abdominal surgery
    29 advanced techniques
    30 aim
    31 alternative
    32 blood loss
    33 characteristics
    34 clinical records
    35 complex procedures
    36 conventional procedures
    37 curves
    38 differences
    39 effectiveness
    40 experience
    41 extensive surgical experience
    42 feasibility
    43 group
    44 history
    45 hospital stay
    46 junior surgeons
    47 laparoscopic
    48 lateral sectionectomy
    49 learning curve
    50 length
    51 loss
    52 median blood loss
    53 median length
    54 median operative time
    55 morbidity rate
    56 operative outcomes
    57 operative time
    58 outcomes
    59 pathologic results
    60 patient characteristics
    61 patients
    62 previous abdominal surgery
    63 procedure
    64 rate
    65 records
    66 results
    67 safe alternative
    68 safe procedure
    69 safety
    70 sectionectomy
    71 significant differences
    72 smooth learning curve
    73 stay
    74 study
    75 surgeons
    76 surgery
    77 surgical experience
    78 technique
    79 terms
    80 time
    81 training procedure
    82 schema:name Standardized single-incision plus one-port laparoscopic left lateral sectionectomy: a safe alternative to the conventional procedure
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