単孔式腹腔鏡下胆嚢摘出術の検討

Abstract

We experienced 63 patients with non‑inflammatory disease who underwent single‑incision laparoscopic cholecystectomy (TANKO‑LC. Herein we report the procedure of operation and the short‑term results. We compared 63 cases of TANKO‑LC with 109 cases of non‑inflammatory conventional laparoscopic cholecystectomy (S‑LC within the same period. At first our standard procedure was to insert multiple trocars in the abdominal cavity through a single wound；now we insert only a single trocar all cases. In the 63 cases investigation 3 cases required trocar addition and one case converted to open surgery. Intra and postoperative complications were recognized in 2 cases (port‑site infection. No significant complications were recognized. In comparing the TANKO‑LC group and the S‑LC group the operation time was intentionally longer in the TANKO‑LC group (TANKO‑LC group：118 min S‑LC group：90 min but there were no differences in the blood loss the rates of intra and postoperative complications and the conversion rate. Laparoscopic cholecystectomy is a standard operation for gallbladder removal but single‑incision laparoscopic cholecystectomy is considered a useful operation with the same low operative complication rate yet more satisfactory cosmetic results.