The Experts below are selected from a list of 59769 Experts worldwide ranked by ideXlab platform
Wang Jian-zhong - One of the best experts on this subject based on the ideXlab platform.
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Comparative study on transumbilical single port Laparoscopic Cholecystectomy and conventional Laparoscopic Cholecystectomy
Journal of Shanxi Medical University, 2012Co-Authors: Wang Jian-zhongAbstract:Objective To compare the clinical efficacy of transumbilical single port Laparoscopic Cholecystectomy(TUSPLC) and conventional Laparoscopic Cholecystectomy(LC),and to explore the safety,feasibility and characteristics of transumbilical single port Laparoscopic Cholecystectomy.Methods Fifty patients undergoing transumbilical single port Laparoscopic Cholecystectomy(single port group),and fifty patients undergoing traditional Laparoscopic Cholecystectomy by the same surgeon(control group),were enrolled in this study.The operation time,the operative bleeding volume,the side injury during operation,the degree of postoperative pain,the postoperative intestinal function recovery time,the postoperative complications and the postoperative hospitalized day were recorded and compared.Results All patients successfully completed the surgery.In single port group and control group the operation time was(65.20±28.75)and(61.50±21.00)min,respectively(P0.05).Intraoperative blood loss,postoperative hospital stay were also not statistically different between 2 groups(P0.05).The postoperative intestinal function recovery time in single port group was significantly shorter than in control group [(22.76±4.22)h vs(28.02±5.04)h,P0.05].The degree of postoperative pain was lower in single port group than that of control group(P0.05).No side injury,postoperative bleeding and complications were found in two groups.Conclusion Transumbilical single port Laparoscopic Cholecystectomy is a safe,feasible and more minimally invasive way,with the advantages of less postoperative pain,quicker recovery,and no obvious abdominal scar.
Adamantia Manataki - One of the best experts on this subject based on the ideXlab platform.
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different pain scores in single transumbilical incision Laparoscopic Cholecystectomy versus classic Laparoscopic Cholecystectomy a randomized controlled trial
Surgical Endoscopy and Other Interventional Techniques, 2010Co-Authors: Evangelos C Tsimoyiannis, Konstantinos E Tsimogiannis, George Pappasgogos, Charalampos Farantos, Nikolaos Benetatos, Paraskevi Mavridou, Adamantia ManatakiAbstract:Background The attempt to further reduce operative trauma in Laparoscopic Cholecystectomy has led to new techniques such as natural orifice transluminal endoscopic surgery (NOTES) and single-incision Laparoscopic surgery (SILS). These new techniques are considered to be painless procedures, but no published studies investigate the possibility of different pain scores in these new techniques versus classic Laparoscopic Cholecystectomy. In this randomized control study, we investigated pain scores in SILS Cholecystectomy versus classic Laparoscopic Cholecystectomy.
H. Y. Cheung - One of the best experts on this subject based on the ideXlab platform.
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Two-port versus four-port Laparoscopic Cholecystectomy
Surgical Endoscopy and Other Interventional Techniques, 2003Co-Authors: Chi-ming Poon, K.w. Chan, K.c. Chan, Chi-wah Ko, H. Y. CheungAbstract:Background: Two-port Laparoscopic Cholecystectomy has been reported to be safe and feasible. However, whether it offers any additional advantages remains controversial. This study reports a randomized trial that compared the clinical outcomes of two-port Laparoscopic Cholecystectomy versus conventional four-port Laparoscopic Cholecystectomy. Methods: One hundred and twenty consecutive patients who underwent elective Laparoscopic Cholecystectomy were randomized to receive either the two-port or the four-port technique. All patients were blinded to the type of operation they underwent. Four surgical tapes were applied to standard four-port sites in both groups at the end of the operation. All dressings were kept intact until the first follow-up 1 week after surgery. Postoperative pain at the four sites was assessed on the first day after surgery using a 10-cm unscaled visual analog scale (VAS). Other outcome measures included analgesia requirements, length and difficulty of the operation, postoperative stay, and patient satisfaction score on surgery and scars. Results: Demographic data were comparable for both groups. Patients in the two-port group had shorter mean operative time (54.6 ± 24.7 min vs 66.9 ± 33.1 min for the four-post group; p = 0.03) and less pain at individual subcostal port sites [mean score using 10-cm unscaled VAS: 1.5 vs 2.8 (p = 0.01) at the midsubcostal port site and 1.3 vs 2.3 (p = 0.02) at the lateral subcostal port site]. Overall pain score, analgesia requirements, hospital stay, and patient satisfaction score on surgery and scars were similar between the two groups. Conclusion: Two-port Laparoscopic Cholecystectomy resulted in less individual port-site pain and similar clinical outcomes but fewer surgical scars compared to four-port Laparoscopic Cholecystectomy. Thus, it can be recommended as a routine procedure in elective Laparoscopic Cholecystectomy.
A Uccheddu - One of the best experts on this subject based on the ideXlab platform.
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meta analysis of prospective randomized studies comparing single incision Laparoscopic Cholecystectomy silc and conventional multiport Laparoscopic Cholecystectomy cmlc
Journal of Gastrointestinal Surgery, 2012Co-Authors: Adolfo Pisanu, Isabella Reccia, G Porceddu, A UcchedduAbstract:Background Single-incision Laparoscopic Cholecystectomy (SILC) has gained acceptance among surgeons as there is a trend to minimize the invasiveness of laparoscopy. The aim of this meta-analysis has been to assess the feasibility and safety of SILC when compared to conventional multiport Laparoscopic Cholecystectomy (CMLC).
M. J. Mcmahon - One of the best experts on this subject based on the ideXlab platform.
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Randomized comparison between low-pressure Laparoscopic Cholecystectomy and gasless Laparoscopic Cholecystectomy
Surgical endoscopy, 1999Co-Authors: Antonios Vezakis, D. Davides, J. Gibson, M. R. Moore, H. Shah, Mike Larvin, M. J. McmahonAbstract:Background: Laparoscopic Cholecystectomy using low-pressure pneumoperitoneum (8 mmHg) minimizes adverse hemodynamic effects, reduces postoperative pain, and accelerates recovery. Similar claims are made for gasless laparoscopy using abdominal wall lifting. The aim of this study was to compare gasless Laparoscopic Cholecystectomy to low-pressure Cholecystectomy with respect to postoperative pain and recovery.
