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

  • Original Article
  • Published:
Journal of Gastrointestinal Surgery

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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Authors and Affiliations

  1. Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 166 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, Republic of Korea

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

Authors
  1. In Gun Hyun
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  2. YoungRok Choi
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  3. Ho-Seong Han
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  6. Kil Hwan Kim
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Contributions

- Substantial contributions to the conception or design of the work, the acquisition analysis, or interpretation of data for the work: In Gun Hyun, YoungRok Choi, Kil Hwan Kim, and Sunjong Han- Drafting the work or revising it critically for important intellectual content: In Gun Hyun, YoungRok Choi, and Yoo-Seok Yoon

- Final approval of the version to be published: Ho-Seoung Han and Jai Young Cho- Agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: YoungRok Choi

Corresponding author

Correspondence to YoungRok Choi.

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This study was approved by the Institutional Review Board at Seoul National University Bundang Hospital (L-2018-869).

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The authors declare that they have no conflict of interest.

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Hyun, I.G., Choi, Y., Han, HS. et al. Feasibility of Solo Single-Incision Laparoscopic Surgery in Non-anatomical Minor Liver Resection: a Propensity Score-Matched Analysis. J Gastrointest Surg 25, 681–687 (2021). https://doi.org/10.1007/s11605-020-04527-4

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  • DOI: https://doi.org/10.1007/s11605-020-04527-4

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