Double incision laparoscopic surgery

Česká verzia

Authors: P. Horák ¹; Z. Janeček ¹; M. Červinková ^1,2; J. Marvan ¹; V. Průchová ¹; J. Fanta ¹
Authors place of work: Chirurgická klinika, Nemocnice Na Bulovce, 1. LF Univerzity Karlovy v Praze přednosta doc. MUDr. J. Fanta, DrSc. ¹; Ústav živočišné fyziologie a genetiky Akademie věd České republiky, Liběchov ředitel: Ing. J. Kopečný, DrSc. ²
Published in the journal: Rozhl. Chir., 2016, roč. 95, č. 5, s. 196-199.
Category: Původní práce

Summary

Introduction:
Single incision laparoscopic surgery (SILS) is a common alternative to classical laparoscopic surgery. However, material costs of SILS significantly limit the spreading of this method to most of surgical departments in the Czech Republic. Therefore we introduced DILS, which is technically more difficult than 3- to 4-incision laparoscopy but comparable cost-wise and its result approaches the cosmetic effect of SILS.

Methods:
We describe the technical approach for DILS. We evaluate our own group of patients who were operated on in 2012-2014.

Results:
Nine minor complications evaluated as Clavien-Dindo grade I-IIIb were seen in the group of 64 patients undergoing laparoscopic cholecystectomy, appendectomy or TAPP operation of groin hernias using DILS method. DILS-cholecystectomy was converted to multiple-ports laparoscopy 4 times.

Conclusion:
In our group, DILS did not present a higher complication rate than laparoscopic surgery using multiple incisions. This method is well-regarded by the patients in terms of its aesthetic results, and economically it is more advantageous than SILS.

Key words:
minimally invasive surgery – SILS – double incision laparoscopic surgery

Zdroje

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