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This thesis submitted by Sameh Mohamed Naguib Ahmed to Zagazig University's Faculty of Medicine examines single-incision laparoscopic cholecystectomy with intraoperative cholangiography. The thesis is submitted under the supervision of Prof. Tarek Ezzat Abdellatif, Prof. Emad Mohammed Salah, and Dr. Wael Mahmoud Awad to fulfill the requirements for a Master's degree in General Surgery from Zagazig University's Faculty of Medicine.
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This document is an essay submitted by Gergis Rabea Farag to fulfill requirements for a Master's degree in General Surgery. The essay examines the laparoscopic technique for managing inguinal hernias in modern practice. It was supervised by three professors from the Faculty of Medicine at Assiut University: Prof. Dr. Mostafa Alaa El Deen Abd El Aziz, Prof. Dr. Alaa Ahmad Redwan, and Dr. Ahmad Mohammad Ali.
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This document outlines a study to examine the benefits of single incision laparoscopic cholecystectomy with cholangiography compared to traditional cholecystectomy. The study aims to evaluate the short-term outcomes and safety of the single incision procedure with cholangiography. Specifically, the objectives are to assess the safety, benefits, and role of intraoperative cholangiography with the single incision laparoscopic technique.
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This systematic review analyzed 49 studies including over 2,300 patients undergoing single-incision laparoscopic cholecystectomy (SILC) or standard laparoscopic cholecystectomy (SLC). The review found that complication rates for SILC ranged from 0-28.6% with an overall median of 7.37%, which may be underestimated due to lack of follow-up in many studies. Studies reported similar or worse pain outcomes for SILC compared to SLC in most cases. Three studies found significantly improved cosmetic outcomes with SILC while others found no significant difference. No definitive evidence suggests that SILC provides improved cosmesis or reduced pain over SLC, and complications may
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This document reviews 10 randomized controlled trials comparing single port laparoscopic cholecystectomy to conventional laparoscopic cholecystectomy. It finds that single port laparoscopic cholecystectomy has a longer operating time but provides an equivocal benefit in terms of postoperative pain. It offers an improved cosmetic outcome but is associated with a low risk of bile duct injuries or the need for conversion to conventional laparoscopic cholecystectomy. The review concludes that single port laparoscopic cholecystectomy is as safe as conventional laparoscopic cholecystectomy in carefully selected patients.
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This document provides 12 references for articles on single-incision laparoscopic cholecystectomy. The references cover initial experiences with the critical view of safety dissection and routine intraoperative cholangiography, a comparison of single-incision versus conventional laparoscopic cholecystectomy, techniques for performing single-incision laparoscopic cholecystectomy, complications of the procedure, and the use of routine intraoperative cholangiography during single-incision laparoscopic cholecystectomy.
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Art 3 a10.1007-2fs00464-011-2009-2
n (%)
Results
Patient demographics and indications
Table 1 Patient demographics and indications
Surgeon 2
75 min (35–120 min)
85 min (45–180 min)
Junior resident
30 (50)
Fellow
30 (50)
due to severe inflammation (n = 2), inability to retract the
gallbladder (n = 2), and bleeding from the cystic artery
(n = 1). No patient required conversion to open cholecystectomy.
Intraoperative cholangiography and bile duct
exploration
Age (years): mean (range)
47 (18–80)
Gender: n
Administrative design
The document outlines a study to analyze the benefits of single incision laparoscopic cholecystectomy with cholangiography. It will obtain ethical approval, use SPSS to analyze data, statistically assess results to detect benefits, and is expected to find advantages like less invasiveness, pain, and recovery time along with improved cosmetics and satisfaction. It recommends using the new single incision technique if requirements are available and that experienced laparoscopic surgeons tend to perform more such operations.
2
Laparoscopic cholecystectomy has been the standard procedure for gallbladder removal since the 1990s. Recently, single incision laparoscopic cholecystectomy (SILC) has been developed to further reduce invasiveness. While technically challenging, SILC offers benefits like less pain, faster recovery, and better cosmetic outcomes compared to standard laparoscopic cholecystectomy. The document presents a study protocol to evaluate the benefits of SILC with intraoperative cholangiography, including safety, reduced invasiveness, and ability to manage unexpected bile duct issues. The prospective randomized study will compare outcomes of SILC with cholangiography to standard techniques in 100 patients. Results will help determine if S
Art 3 a10.1007-2fs11605-012-2123-z
This study reviewed 196 patients who underwent single-incision laparoscopic cholecystectomy (SILC) with routine intraoperative cholangiography (IOC) at a single institution. IOC was successful in 178 patients (90.8%) and detected abnormalities in 21 patients (10.7%), including common bile duct stones in 16 patients. IOC helped accurately identify biliary anatomy and avoided potential bile duct injury in one case. The authors conclude that routine IOC during SILC is feasible and useful for detecting bile duct stones and gaining an accurate picture of biliary anatomy.
V10p0073
This study evaluated the experiences and outcomes of 150 patients who underwent single incision laparoscopic cholecystectomy (SILC) between 2009-2011. Two different techniques were used for the single incision procedure. The median operative time was 29 minutes. Patients were discharged after a median hospital stay of 1.33 days. Five patients developed superficial wound infections. Port site hernias developed in 5 patients within 6 months of surgery. No other major complications occurred. The study concluded that SILC is a safe procedure that can be performed successfully with conventional laparoscopic instruments and may provide advantages of reduced postoperative pain and improved cosmetic outcomes compared to traditional laparoscopic cholecystectomy.
Subjects and methods
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- 1. Zagazig University Faculty of Medicine Single-Incision laparoscopic Cholecystectomy with Intraoperative Cholangiography Thesis submitted for fulfilment of the master degree In General Surgery By: Sameh Mohamed naguib ahmed (M.B.B.Ch.), Zagazig University Under supervision of Prof. Prof. Tarek Ezzat Abdellatif Emad mohammed salah Professor of General Surgery Faculty of Medicine Zagazig University Professor of General Surgery Faculty of Medicine Zagazig University Dr. Wael Mahmoud Awad Lecturer of General Surgery Faculty of Medicine Zagazig University Faculty of Medicine Zagazig University 2013