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Journal of Gastrointestinal Surgery

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01-03-2021 | Hepatocellular Carcinoma | Original Article

Feasibility of Solo Single-Incision Laparoscopic Surgery in Non-anatomical Minor Liver Resection: a Propensity Score-Matched Analysis

Authors: In Gun Hyun, YoungRok Choi, Ho-Seong Han, Yoo-Seok Yoon, Jai Young Cho, Kil Hwan Kim, Sunjong Han

Published in: Journal of Gastrointestinal Surgery | Issue 3/2021

Abstract

Background

We introduced solo surgery using a laparoscopic scope holder to wide an operator’s activity range and reduce instrument crowding and clashing in single incisional surgery. This study aimed to compare the surgical outcomes of solo single-incision laparoscopic surgery (SILS) and conventional multiport laparoscopic surgery (MULS) for hepatocellular carcinoma (HCC).

Methods

Among 477 consecutive patients between January 2004 and December 2017, 214 patients were included. To overcome selection bias, we performed 1:1 match using propensity score matching between SILS and MULS. Baseline characteristics, operative outcomes, and postoperative complications were compared.

Results

No significant differences in baseline characteristics and pathologic features were found between the two groups. Operation time, estimated blood loss, and postoperative major complication were not significantly different (119.0 min vs 141.6 min, p = 0.275; 200.0 mL min vs 373.3 min, p = 0.222; 0 vs 0, p = 1.000). However, postoperative hospital stay was significantly shorter in SILS (2.73 days vs 7.67 days, p = 0.005).

Conclusions

Solo SILS had comparable postoperative complications and feasibility in the aspect of operation time and hospital stay compared with conventional MULS for a favorable located single HCC.

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Title: Feasibility of Solo Single-Incision Laparoscopic Surgery in Non-anatomical Minor Liver Resection: a Propensity Score-Matched Analysis
Authors: In Gun Hyun
YoungRok Choi
Ho-Seong Han
Yoo-Seok Yoon
Jai Young Cho
Kil Hwan Kim
Sunjong Han
Publication date: 01-03-2021
Publisher: Springer US
Keywords: Hepatocellular Carcinoma
Incision
Hepatocellular Carcinoma
Published in: Journal of Gastrointestinal Surgery / Issue 3/2021
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-020-04527-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Feasibility of Solo Single-Incision Laparoscopic Surgery in Non-anatomical Minor Liver Resection: a Propensity Score-Matched Analysis

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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