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01.10.2013 | Chirurgie

Laparoskopische Cholezystektomie

SILS vs. MILS

verfasst von: PD Dr. C. Hollinsky

Erschienen in: Wiener klinisches Magazin | Ausgabe 5/2013

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Bei der Einführung der Laparoskopie war die Reduktion des Zugangstraumas der entscheidende Vorteil gegenüber der Laparotomie. Auch gegenwärtig ist das Bestreben in der Laparoskopie, durch einen verbesserten Zugang das Bauchdeckentrauma weiter zu minimieren. Ermöglicht wird dies durch die Industrie, die kleine Trokare mit einem Durchmesser von 2 bis 3 mm sowie dünneres laparoskopisches Instrumentarium (wie z. B. Fasszangen oder Scheren), das durch diese Trokare passt, anbietet ([1]; Abb. 1). Auch verspricht man sich von der Single-incision-laparoscopic-surgery(SILS)-Technik durch die Reduktion der Zugänge von mehreren auf einen eine Minimierung des Zugangstraumas [2, 3, 4]. Neben dem Zugangstrauma sind weitere Kriterien für die Patienten wichtig wie
  • intra- und postoperative Komplikationen,
  • postoperative Schmerzen,
  • die Länge des Krankenhausaufenthalts,
  • postoperatives Aussehen und
  • kurzzeitige Rehabilitation.
Literatur
1.
Zurück zum Zitat Georgiou AN, Rassweiler J, Herrmann TR, Stolzenburg JU, Liatsikos EN, Do EM, Kallidonis P, de la Teille A, van Velthoven R, Burchardt M (2012) Evolution and simplified terminology of natural orifice transluminal endoscopic surgery (NOTES), laparoendoscopic single-site surgery (LESS), and mini-laparoscopy (ML). World J Urol 30:573–580PubMedCrossRef Georgiou AN, Rassweiler J, Herrmann TR, Stolzenburg JU, Liatsikos EN, Do EM, Kallidonis P, de la Teille A, van Velthoven R, Burchardt M (2012) Evolution and simplified terminology of natural orifice transluminal endoscopic surgery (NOTES), laparoendoscopic single-site surgery (LESS), and mini-laparoscopy (ML). World J Urol 30:573–580PubMedCrossRef
2.
Zurück zum Zitat Hall TC, Dennison AR, Bilku DK, Metcalfe MS, Garcea G (2012) Single-incision laparoscopic cholecystectomy: a systematic review. Arch Surg 147:657–666PubMedCrossRef Hall TC, Dennison AR, Bilku DK, Metcalfe MS, Garcea G (2012) Single-incision laparoscopic cholecystectomy: a systematic review. Arch Surg 147:657–666PubMedCrossRef
3.
Zurück zum Zitat Tacchino R, Greco F, Matera D (2009) Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc 23:896–899PubMedCrossRef Tacchino R, Greco F, Matera D (2009) Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc 23:896–899PubMedCrossRef
4.
Zurück zum Zitat Pollard JS, Fung AK, Ahmed I (2012) Are natural orifice transluminal endoscopic surgery and single-incision surgery viable techniques for cholecystectomy? J Laparoendosc Adv Surg Tech A 22:1–14 PubMedCrossRef Pollard JS, Fung AK, Ahmed I (2012) Are natural orifice transluminal endoscopic surgery and single-incision surgery viable techniques for cholecystectomy? J Laparoendosc Adv Surg Tech A 22:1–14 PubMedCrossRef
5.
Zurück zum Zitat Hollinsky C, Hollinsky S, Tuchmann F (2013) Comparison of different trocar systems relating to fascial defects. Surg Endosc (zur Publikation eingereicht) Hollinsky C, Hollinsky S, Tuchmann F (2013) Comparison of different trocar systems relating to fascial defects. Surg Endosc (zur Publikation eingereicht)
6.
Zurück zum Zitat Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA (2012) Systematic review of trocar-site hernia. Br J Surg 99:315–323PubMedCrossRef Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA (2012) Systematic review of trocar-site hernia. Br J Surg 99:315–323PubMedCrossRef
7.
Zurück zum Zitat Helgstrand F, Rosenberg J, Bisgaard T (2011) Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia 15:113–121PubMedCrossRef Helgstrand F, Rosenberg J, Bisgaard T (2011) Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia 15:113–121PubMedCrossRef
8.
Zurück zum Zitat Hollinsky C, Sandberg S (2007) Measurement of the tensile strength of the ventral abdominal wall in comparison with scar tissue. Clin Biomech 22:88–92CrossRef Hollinsky C, Sandberg S (2007) Measurement of the tensile strength of the ventral abdominal wall in comparison with scar tissue. Clin Biomech 22:88–92CrossRef
9.
Zurück zum Zitat Phillips MS, Marks JM, Roberts K, Tacchino R, Onders R, DeNoto G, Rivas H, Islam A, Soper N, Gecelter G, Rubach E, Paraskeva P, Shah S (2012) Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy. Surg Endosc 26:1296–1303PubMedCrossRef Phillips MS, Marks JM, Roberts K, Tacchino R, Onders R, DeNoto G, Rivas H, Islam A, Soper N, Gecelter G, Rubach E, Paraskeva P, Shah S (2012) Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy. Surg Endosc 26:1296–1303PubMedCrossRef
10.
Zurück zum Zitat Bucher P, Pugin F, Buchs NC, Ostermann S, Morel P (2011) Randomized clinical trial of laparoendoscopic single-site versus conventional laparoscopic cholecystectomy. Br J Surg 98:1695–1702PubMedCrossRef Bucher P, Pugin F, Buchs NC, Ostermann S, Morel P (2011) Randomized clinical trial of laparoendoscopic single-site versus conventional laparoscopic cholecystectomy. Br J Surg 98:1695–1702PubMedCrossRef
11.
Zurück zum Zitat Madureira FA, Manso JE, Madureira Fo D, Iglesias AC (2012) Randomized clinical study for assessment of incision characteristics and pain associated with LESS versus laparoscopic cholecystectomy. Surg Endosc 27:1009–1015PubMedCrossRef Madureira FA, Manso JE, Madureira Fo D, Iglesias AC (2012) Randomized clinical study for assessment of incision characteristics and pain associated with LESS versus laparoscopic cholecystectomy. Surg Endosc 27:1009–1015PubMedCrossRef
12.
Zurück zum Zitat Bresadola F, Pasqualucci A, Donini A, Chiarandini P, Anania G, Terrosu G, Sistu MA, Pasetto A (1999) Elective transumbilical compared with standard laparoscopic cholecystectomy. Eur J Surg 65:29–34CrossRef Bresadola F, Pasqualucci A, Donini A, Chiarandini P, Anania G, Terrosu G, Sistu MA, Pasetto A (1999) Elective transumbilical compared with standard laparoscopic cholecystectomy. Eur J Surg 65:29–34CrossRef
13.
Zurück zum Zitat Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G Farantos C, Benetatos N, Mavridou P, Manataki A (2010) Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc 24:1842–1848PubMedCrossRef Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G Farantos C, Benetatos N, Mavridou P, Manataki A (2010) Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc 24:1842–1848PubMedCrossRef
14.
Zurück zum Zitat Osborne D, Boe B, Rosemurgy AS, Zervos EE (2005) Twenty-millimeter laparoscopic cholecystectomy: fewer ports results in less pain, shorter hospitalization, and faster recovery. Am Surg 71:298–302PubMed Osborne D, Boe B, Rosemurgy AS, Zervos EE (2005) Twenty-millimeter laparoscopic cholecystectomy: fewer ports results in less pain, shorter hospitalization, and faster recovery. Am Surg 71:298–302PubMed
15.
Zurück zum Zitat Jackson T, Einarsson J (2010) Single-Port Gynecologic Surgery. Rev Obset Gynecol 3:133–139 Jackson T, Einarsson J (2010) Single-Port Gynecologic Surgery. Rev Obset Gynecol 3:133–139
16.
Zurück zum Zitat Bisgaard T, Klarskov B, Trap R, Kehlet H, Rosenberg J (2002) Microlaparoscopic vs conventional laparoscopic cholecystectomy: a prospective randomized double-blind trial Surg Endosc 16:458–464 Bisgaard T, Klarskov B, Trap R, Kehlet H, Rosenberg J (2002) Microlaparoscopic vs conventional laparoscopic cholecystectomy: a prospective randomized double-blind trial Surg Endosc 16:458–464
17.
Zurück zum Zitat Ghezzi F, Cromi A, Colombo G, Uccella S, Bergamini V, Serati M, Bolis P (2005) Minimizing ancillary ports size in gynecologic laparoscopy: a randomized trial. J Minim Invasive Gynecol 12:480–485PubMedCrossRef Ghezzi F, Cromi A, Colombo G, Uccella S, Bergamini V, Serati M, Bolis P (2005) Minimizing ancillary ports size in gynecologic laparoscopy: a randomized trial. J Minim Invasive Gynecol 12:480–485PubMedCrossRef
18.
Zurück zum Zitat Hollinsky C, Patri P, Hollinsky S, Tuchmann A (2012) Mini-incisional laparoscopic surgery (MILS) for inguinal hernia repair. Eur Surg 44:1–5CrossRef Hollinsky C, Patri P, Hollinsky S, Tuchmann A (2012) Mini-incisional laparoscopic surgery (MILS) for inguinal hernia repair. Eur Surg 44:1–5CrossRef
19.
Zurück zum Zitat Novitsky YW, Kercher KW, Czerniach DR, Kaban GK, Khera S, Gallagher-Dorval KA, Callery MP, Litwin DE, Kelly JJ (2005) Advantages of mini-laparoscopic vs conventional laparoscopic cholecystectomy: results of a prospective randomized trial. Arch Surg 140:1178–1183PubMedCrossRef Novitsky YW, Kercher KW, Czerniach DR, Kaban GK, Khera S, Gallagher-Dorval KA, Callery MP, Litwin DE, Kelly JJ (2005) Advantages of mini-laparoscopic vs conventional laparoscopic cholecystectomy: results of a prospective randomized trial. Arch Surg 140:1178–1183PubMedCrossRef
20.
Zurück zum Zitat Hernandez JM, Morton CA, Ross S, Albrink M, Rosemurgy AS (2009) Laparoendoscopic single site cholecystectomy: the first 100 patients. Am Surg 75:681–685PubMed Hernandez JM, Morton CA, Ross S, Albrink M, Rosemurgy AS (2009) Laparoendoscopic single site cholecystectomy: the first 100 patients. Am Surg 75:681–685PubMed
21.
Zurück zum Zitat Poon CM, Chan KW, Lee DW, Chan KC, Ko CW, Cheung HY, Lee KW (2003) Two-port versus four-port laparoscopic cholecystectomy. Surg Endosc 17:1624–1627PubMedCrossRef Poon CM, Chan KW, Lee DW, Chan KC, Ko CW, Cheung HY, Lee KW (2003) Two-port versus four-port laparoscopic cholecystectomy. Surg Endosc 17:1624–1627PubMedCrossRef
22.
Zurück zum Zitat Phillips MS, Marks JM, Roberts K, Tacchino R, Onders R, DeNoto G, Rivas H, Islam A, Soper N, Gecelter G, Rubach E, Paraskeva P, Shah S. (2012) Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy. Surg Endosc 26:1296–1303PubMedCrossRef Phillips MS, Marks JM, Roberts K, Tacchino R, Onders R, DeNoto G, Rivas H, Islam A, Soper N, Gecelter G, Rubach E, Paraskeva P, Shah S. (2012) Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy. Surg Endosc 26:1296–1303PubMedCrossRef
23.
Zurück zum Zitat Ma J, Cassera MA, Spaun GO, Hammill CW, Hansen PD, Aliabadi-Wahle S (2011) Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy. Ann Surg 254:22–27PubMedCrossRef Ma J, Cassera MA, Spaun GO, Hammill CW, Hansen PD, Aliabadi-Wahle S (2011) Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy. Ann Surg 254:22–27PubMedCrossRef
24.
Zurück zum Zitat Vidal O, Valentini M, Ginestà C, Espert JJ, Martinez A, Benarroch G, Anglada MT, García-Valdecasas JC (2011) Single-incision versus standard laparoscopic cholecystectomy: comparison of surgical outcomes from a single institution. J Laparoendosc Adv Surg Tech A 21:683–686PubMedCrossRef Vidal O, Valentini M, Ginestà C, Espert JJ, Martinez A, Benarroch G, Anglada MT, García-Valdecasas JC (2011) Single-incision versus standard laparoscopic cholecystectomy: comparison of surgical outcomes from a single institution. J Laparoendosc Adv Surg Tech A 21:683–686PubMedCrossRef
25.
Zurück zum Zitat Elsey JK, Feliciano DV (2010) Initial experience with single-incision laparoscopic cholecistectomy. J Am Coll Surg 210:620–624PubMedCrossRef Elsey JK, Feliciano DV (2010) Initial experience with single-incision laparoscopic cholecistectomy. J Am Coll Surg 210:620–624PubMedCrossRef
26.
Zurück zum Zitat Tacchino R, Greco F, Matera D (2009) Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc 23:896–899PubMedCrossRef Tacchino R, Greco F, Matera D (2009) Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc 23:896–899PubMedCrossRef
27.
Zurück zum Zitat Pryor AD, Tushar JR, DiBernardo LR (2010) Single-port cholecystectomy with the TransEnterix SPIDER: simple and safe. Surg Endosc 24:917–923PubMedCrossRef Pryor AD, Tushar JR, DiBernardo LR (2010) Single-port cholecystectomy with the TransEnterix SPIDER: simple and safe. Surg Endosc 24:917–923PubMedCrossRef
Metadaten
Titel
Laparoskopische Cholezystektomie
SILS vs. MILS
verfasst von
PD Dr. C. Hollinsky
Publikationsdatum
01.10.2013
Verlag
Springer Vienna
Erschienen in
Wiener klinisches Magazin / Ausgabe 5/2013
Print ISSN: 1869-1757
Elektronische ISSN: 1613-7817
DOI
https://doi.org/10.1007/s00740-013-0111-x

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