Detailed Abstract
[E-poster - Biliary & Pancreas (Biliary Disease/Surgery)]
[EP 075] Perioperative Outcome Of Laparoscopic Single Site+1 Cholecystectomy Using ArtiSential Instrument. : Comparing With Robotic Single-port Cholecystectomy
Seoung Yoon RHO1 , Mun Seok CHOI1 , Sung Hyun KIM2 , Seoung Soo HONG2 , Chang Moo KANG*2
1 Division Of Hepatobiliary And Pacreas, Department Of Surgery, Yongin Severance Hospital, REPUBLIC OF KOREA
2 Division Of Hepatobiliary And Pacreas, Department Of Surgery, Severance Hospital, REPUBLIC OF KOREA
Background : Laparoscopic cholecystectomy is known as gold standard procedure for benign gallbladder disease. However, there is still frustration for reducing port using various instruments. We investigated early perioperative outcomes of laparoscopic single site + 1 cholecystectectomy using ArtiSential instruments (ArtiSential cholecystectomy).
Methods : From July 2022 to December 2022, total 116 patients underwent ArtiSential choelcystectomy in Severance hospital and Yongin Severance hospital. From May 2019 to December 2022, total 210 patients underwent robotic single-port cholecystectomy. Clinical characteristics and perioperative outcomes, postoperative pain score were compared between ArtiSential cholecystectomy and robotic single-port cholecystectomy (RSPC).
Results : Patients in ArtiSential cholecystectomy group were older than RSPC group with statistical significance (43.9 vs 51.9, p <0.001). There are larger portion of male patients (24.8% vs 50.9%, p<0.001) and acute cholecystitis with stone (0.5% vs 21.6%, p<0.001) in ArtiSential cholecystectomy group compared to RSPC group. There were no differences between two groups in terms of estimated blood loss, postoperative complications, hospital stay. Mean operation time of ArtiSential cholecystectomy was shorter than RSPC group (94.8 vs 56.5, p<0.001). Despite of no differences in pain score at discharge day, ArtiSential cholecystectomy showed significant lower immediate postoperative pain score than RSPC group. (5.4 vs 2.7, p<0.001). In subgroup analysis regarding sex, obesity, operation time, preoperative symptoms and gallbladder stone with cholecystitis, there were no significant differences between two groups.
Conclusions : ArtiSential cholecystectomy can be performed safe and feasible. ArtiSential cholecystectomy showed markedly lower immediate postoperative pain score than RSPC with comparable operative outcomes as regards estimated blood loss, hospital stay, postoperative complication rates
Methods : From July 2022 to December 2022, total 116 patients underwent ArtiSential choelcystectomy in Severance hospital and Yongin Severance hospital. From May 2019 to December 2022, total 210 patients underwent robotic single-port cholecystectomy. Clinical characteristics and perioperative outcomes, postoperative pain score were compared between ArtiSential cholecystectomy and robotic single-port cholecystectomy (RSPC).
Results : Patients in ArtiSential cholecystectomy group were older than RSPC group with statistical significance (43.9 vs 51.9, p <0.001). There are larger portion of male patients (24.8% vs 50.9%, p<0.001) and acute cholecystitis with stone (0.5% vs 21.6%, p<0.001) in ArtiSential cholecystectomy group compared to RSPC group. There were no differences between two groups in terms of estimated blood loss, postoperative complications, hospital stay. Mean operation time of ArtiSential cholecystectomy was shorter than RSPC group (94.8 vs 56.5, p<0.001). Despite of no differences in pain score at discharge day, ArtiSential cholecystectomy showed significant lower immediate postoperative pain score than RSPC group. (5.4 vs 2.7, p<0.001). In subgroup analysis regarding sex, obesity, operation time, preoperative symptoms and gallbladder stone with cholecystitis, there were no significant differences between two groups.
Conclusions : ArtiSential cholecystectomy can be performed safe and feasible. ArtiSential cholecystectomy showed markedly lower immediate postoperative pain score than RSPC with comparable operative outcomes as regards estimated blood loss, hospital stay, postoperative complication rates
SESSION
E-poster
E-Session 03/23 ~ 03/25 ALL DAY