Please use this identifier to cite or link to this item: https://doi.org/10.1155/2013/381628
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dc.titleSILC for SILC: Single institution learning curve for single-incision laparoscopic cholecystectomy
dc.contributor.authorTay, C.W.
dc.contributor.authorShen, L.
dc.contributor.authorHartman, M.
dc.contributor.authorIyer, S.G.
dc.contributor.authorMadhavan, K.
dc.contributor.authorChang, S.K.Y.
dc.date.accessioned2014-11-26T05:05:03Z
dc.date.available2014-11-26T05:05:03Z
dc.date.issued2013
dc.identifier.citationTay, C.W., Shen, L., Hartman, M., Iyer, S.G., Madhavan, K., Chang, S.K.Y. (2013). SILC for SILC: Single institution learning curve for single-incision laparoscopic cholecystectomy. Minimally Invasive Surgery 2013 : -. ScholarBank@NUS Repository. https://doi.org/10.1155/2013/381628
dc.identifier.issn20901445
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/109052
dc.description.abstractObjectives. We report the single-incision laparoscopic cholecystectomy (SILC) learning experience of 2 hepatobiliary surgeons and the factors that could influence the learning curve of SILC. Methods. Patients who underwent SILC by Surgeons A and B were studied retrospectively. Operating time, conversion rate, reason for conversion, identity of first assistants, and their experience with previous laparoscopic cholecystectomy (LC) were analysed. CUSUM analysis is used to identify learning curve. Results. Hundred and nineteen SILC cases were performed by Surgeons A and B, respectively. Eight cases required additional port. In CUSUM analysis, most conversion occurred during the first 19 cases. Operating time was significantly lower (62.5 versus 90.6 min, P = 0.04) after the learning curve has been overcome. Operating time decreases as the experience increases, especially Surgeon B. Most conversions are due to adhesion at Calot's triangle. Acute cholecystitis, patients' BMI, and previous surgery do not seem to influence conversion rate. Mean operating times of cases assisted by first assistant with and without LC experience were 48 and 74 minutes, respectively (P = 0.004). Conclusion. Nineteen cases are needed to overcome the learning curve of SILC. Team work, assistant with CLC experience, and appropriate equipment and technique are the important factors in performing SILC. © 2013 Chee Wei Tay et al.
dc.sourceScopus
dc.typeArticle
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.1155/2013/381628
dc.description.sourcetitleMinimally Invasive Surgery
dc.description.volume2013
dc.description.page-
dc.identifier.isiut000215740500011
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