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Surg Today. 2016 Nov;46(11):1318-24. doi: 10.1007/s00595-016-1315-7. Epub 2016 Feb 27.

Single-incision laparoscopic surgery as a teaching procedure: a single-center experience of more than 2100 procedures.

Author information

1
Department of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennouji-ku, Osaka, 543-0035, Japan. wakasugimasaki@gmail.com.
2
Department of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennouji-ku, Osaka, 543-0035, Japan.

Abstract

PURPOSE:

To confirm the safety and feasibility of single-incision laparoscopic surgery (SILS) and to compare the patient outcomes of single-incision laparoscopic surgery for laparoscopic appendectomy (SILS-LA) performed by resident doctors vs. staff surgeons.

METHODS:

We performed a retrospective analysis of patients who underwent SILS between May, 2009 and May, 2015 at Osaka Police Hospital.

RESULTS:

We analyzed 2172 patients. The operations performed consisted of cholecystectomy (n = 598), appendectomy (n = 202), inguinal hernia repair (n = 301), colorectal surgery (n = 673), and gastrectomy (n = 398). SILS was performed safely for a wide range of procedures with acceptable conversion and perioperative complication rates. The resident doctors in our department operated safely on 77 % (156/202) of patients undergoing SILS-LA. The staff surgeons operated on more elderly patients and patients with complicated appendicitis than did the resident doctors. The operative outcomes of the resident-performed SILS-LAs were better than those of the staff surgeons, although there was a patient selection bias.

CONCLUSIONS:

SILS seems safe and feasible for a wide range of procedures. Based on our findings, we believe that SILS-LA could be a useful teaching procedure for resident doctors to perform on selected patients, under the guidance of an experienced staff surgeon.

KEYWORDS:

Education; Laparoscopic appendectomy; Resident training; Single port; Single-incision laparoscopic surgery (SILS)

PMID:
26922213
DOI:
10.1007/s00595-016-1315-7
[Indexed for MEDLINE]

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