COMPARISON BETWEEN INCIDENCE OF INCISIONAL HERNIA IN LAPAROSCOPIC CHOLECYSTECTOMY AND BY SINGLE PORT

Overview

Journal Arq Bras Cir Dig

Specialties Gastroenterology
General Surgery

Date 2018 Jun 28

PMID 29947688

Citations 1

Authors

Fernando Athayde Madureira

Cristiane Luzia Teixeira Gomez

Eduardo Monteiro Almeida

Affiliations

Soon will be listed here.

Abstract

Background: Surgeries with single port access have been gaining ground among surgeons who seek minimally invasive procedures. Although this technique uses only one access, the incision is larger when compared to laparoscopic cholecystectomy and this fact can lead to a higher incidence of incisional hernias.

Aim: To compare the incidence of incisional hernia after laparoscopic cholecystectomy and by single port.

Methods: A total of 57 patients were randomly divided into two groups and submitted to conventional laparoscopic cholecystectomy (n=29) and laparoscopic cholecystectomy by single access (n=28). The patients were followed up and reviewed in a 40.4 month follow-up for identification of incisional hernias.

Results: Follow-up showed 21,4% of incisional hernia in single port group and 3.57% in conventional technique.

Conclusions: There was a higher incidence of late incisional hernia in patients submitted to single port access cholecystectomy compared to conventional laparoscopic cholecystectomy.

Citing Articles

True single-port cholecystectomy with ICG cholangiography through a single 15-mm trocar using the new surgical platform "symphonX": first human case study with a commercially available device.

Datta R, Dieplinger G, Wahba R, Kleinert R, Thomas M, Gebauer F Surg Endosc. 2019; 34(6):2722-2729.

PMID: 31659506 DOI: 10.1007/s00464-019-07229-4.

References

Markar S, Karthikesalingam A, Thrumurthy S, Muirhead L, Kinross J, Paraskeva P . Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis. Surg Endosc. 2011; 26(5):1205-13. DOI: 10.1007/s00464-011-2051-0. View

Lirici M, Califano A, Angelini P, Corcione F . Laparo-endoscopic single site cholecystectomy versus standard laparoscopic cholecystectomy: results of a pilot randomized trial. Am J Surg. 2011; 202(1):45-52. DOI: 10.1016/j.amjsurg.2010.06.019. View

Cardoso Ramos A, Ramos M, Galvao-Neto M, Marins J, Bastos E, Zundel N . Total clipless cholecystectomy by means of harmonic sealing. Arq Bras Cir Dig. 2015; 28(1):53-6. PMC: 4739249. DOI: 10.1590/S0102-67202015000100014. View

Madureira F, Ferreira Manso J, Madureira Fo D, Iglesias A . Randomized clinical study for assessment of incision characteristics and pain associated with LESS versus laparoscopic cholecystectomy. Surg Endosc. 2012; 27(3):1009-15. DOI: 10.1007/s00464-012-2556-1. View

Antoniou S, Pointner R, Granderath F . Single-incision laparoscopic cholecystectomy: a systematic review. Surg Endosc. 2010; 25(2):367-77. DOI: 10.1007/s00464-010-1217-5. View

Ates O, Hakguder G, Olguner M, Akgur F . Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg. 2007; 42(6):1071-4. DOI: 10.1016/j.jpedsurg.2007.01.065. View

Aron M, Canes D, Desai M, Haber G, Kaouk J, Gill I . Transumbilical single-port laparoscopic partial nephrectomy. BJU Int. 2008; 103(4):516-21. DOI: 10.1111/j.1464-410X.2008.08007.x. View

Gill I, Advincula A, Aron M, Caddedu J, Canes D, Curcillo 2nd P . Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc. 2009; 24(4):762-8. DOI: 10.1007/s00464-009-0688-8. View

Tacchino R, Greco F, Matera D . Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc. 2008; 23(4):896-9. DOI: 10.1007/s00464-008-0147-y. View

10.

Antoniou S, Morales-Conde S, Antoniou G, Granderath F, Berrevoet F, Muysoms F . Single-incision laparoscopic surgery through the umbilicus is associated with a higher incidence of trocar-site hernia than conventional laparoscopy: a meta-analysis of randomized controlled trials. Hernia. 2015; 20(1):1-10. DOI: 10.1007/s10029-015-1371-8. View

11.

Remzi F, Kirat H, Kaouk J, Geisler D . Single-port laparoscopy in colorectal surgery. Colorectal Dis. 2008; 10(8):823-6. DOI: 10.1111/j.1463-1318.2008.01660.x. View

12.

Krajinovic K, Ickrath P, Germer C, Reibetanz J . Trocar-site hernia after single-port cholecystectomy: not an exceptional complication?. J Laparoendosc Adv Surg Tech A. 2011; 21(10):919-21. DOI: 10.1089/lap.2011.0292. View

13.

Hong T, Kim H, Lee Y, Kim J, Lee K, You Y . Transumbilical single-port laparoscopic appendectomy (TUSPLA): scarless intracorporeal appendectomy. J Laparoendosc Adv Surg Tech A. 2009; 19(1):75-8. DOI: 10.1089/lap.2008.0338. View

14.

Tranchart H, Ketoff S, Lainas P, Pourcher G, Di Giuro G, Tzanis D . Single incision laparoscopic cholecystectomy: for what benefit?. HPB (Oxford). 2013; 15(6):433-8. PMC: 3664047. DOI: 10.1111/j.1477-2574.2012.00612.x. View

15.

Gangl O, Hofer W, Tomaselli F, Sautner T, Fugger R . Single incision laparoscopic cholecystectomy (SILC) versus laparoscopic cholecystectomy (LC)-a matched pair analysis. Langenbecks Arch Surg. 2011; 396(6):819-24. DOI: 10.1007/s00423-011-0817-4. View

16.

Msezane L, Mushtaq I, Gundeti M . An update on experience with the single-instrument port laparoscopic nephrectomy. BJU Int. 2008; 103(10):1406-8. DOI: 10.1111/j.1464-410X.2008.08232.x. View

17.

Marks J, Phillips M, Tacchino R, Roberts K, Onders R, DeNoto G . Single-incision laparoscopic cholecystectomy is associated with improved cosmesis scoring at the cost of significantly higher hernia rates: 1-year results of a prospective randomized, multicenter, single-blinded trial of traditional multiport.... J Am Coll Surg. 2013; 216(6):1037-47. DOI: 10.1016/j.jamcollsurg.2013.02.024. View

18.

Helgstrand F, Rosenberg J, Bisgaard T . Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia. 2010; 15(2):113-21. DOI: 10.1007/s10029-010-0757-x. View

19.

Borges M, Takeuti T, Terra G, Ribeiro B, Rodrigues-Junior V, Crema E . COMPARATIVE ANALYSIS OF IMMUNOLOGICAL PROFILES IN WOMEN UNDERGOING CONVENTIONAL AND SINGLE-PORT LAPAROSCOPIC CHOLECYSTECTOMY. Arq Bras Cir Dig. 2016; 29(3):164-169. PMC: 5074667. DOI: 10.1590/0102-6720201600030009. View

20.

Sulu B, Yildiz B, Ilingi E, Gunerhan Y, Cakmur H, Anuk T . Single Port vs. Four Port Cholecystectomy--Randomized Trial on Quality of Life. Adv Clin Exp Med. 2015; 24(3):469-73. DOI: 10.17219/acem/43713. View