ABSTRACT
The technique of a single-port laparoscopy was developed over the last years as an attempt to lower surgical aggression and improve the aesthetic results of the minimally invasive surgery. A new robotic platform used with the da Vinci® Robotic System Single-Site System® (Intuitive Surgical, Sunnyvale, California, United States) was recently launched on the global market and is still not documented in Brazil. The authors report on the first four robotic single-port cholecystectomies performed with this da Vinci® Robotic System in Brazil.
A técnica de um único portal laparoscópico foi desenvolvida ao longo dos últimos anos, numa tentativa de diminuir a agressão cirúrgica e melhorar ainda mais os resultados estéticos da cirurgia minimamente invasiva. Uma nova plataforma robótica, usada com o Sistema Robótico da Vinci®Single-Site System® (Intuitive Surgical, Sunnyvale, Califórnia, Estados Unidos), foi recentemente lançada no mercado mundial e é ainda inédita no Brasil. Os autores relatam as primeiras quatro colecistectomias robóticas com portal único realizadas com este Sistema Robótico da Vinci® no Brasil.
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Cholecystectomy, Laparoscopic/methods , Robotic Surgical Procedures/methods , Anesthesia, General , Brazil , Inventions , Patient Safety/standards , Robotic Surgical Procedures/instrumentationABSTRACT
A introdução da cirurgia por videolaparoscopia trouxe vários benefícios para o paciente e para a instituição como: a redução da permanência hospitalar, do tempo e exposição tecidual, do tamanho da incisão, etc. Este estudo objetivou analisar a incidência da Infecção do sitio cirúrgico (ISC), entre pacientes submetidos a cirurgias de colecistectomias por videolaparoscopia (CVL) e por técnica convencional (CC). Foi realizado um estudo prospectivo, no qual foram acompanhados 98 pacientes, submetidos a CC e CVL, com notificação de 19 ISC. A incidência de ISC para pacientes que se submeteram a cirurgia por CC foi de 32,1% e para CVL 14,3% (OR = 2,25 [1,02-4,94] e p = 0,12). Os resultados obtidos neste estudo mostraram que pacientes que se submeteram à CC apresentaram 2,25 vezes mais chances para a ocorrência da ISC, quando comparados àqueles que fizeram a CVL
The introduction of surgery by video-laparoscopy brought several benefits for patients and for the institution: the reduction of the stay in the hospital, time and incision exposure, size of the incision, etc. This study analyzed the incidence of surgical site infection (SSI) among patients submitted to surgeries of cholecistectomy by videolaparoscopy (CSV) and by conventional technique (CT). It is a prospective study, where 98 patients submitted to CT and CSV were accompanied, with notification of 19 SSI. The incidence of SSI for patients that submitted to CT was 32,1% and for CSV 14,3% (OR = 2,25 [1,02-4,94] and p = 0,12). The results obtained in this study showed that patients submitted to CC had 2,25 times more probability of SSI, when compared to the CSV patients
La introducción de la cirugía por vídeo laparoscopia evidenció varios beneficios para el paciente y para la institución: reducción de la permanencia hospitalaria, del tiempo y exhibición del tejido, del tamaño de la incisión, etc. El objetivo de este estudio fue analizar la incidencia de la infección del sitio quirúrgico (ISQ) entre pacientes sometidos a cirugías de colecistectomia por vídeo laparoscopia (CV) y por la técnica convencional (CC). Se trata de un estudio prospectivo donde se efectuó el seguimiento de 98 pacientes sometidos a CC y CV con notificación de 19 ISQ. La incidencia de ISQ para pacientes sometidos a la cirugía CC fue de 32,1% y para CV de 14,3% (OR = 2,25 [1,02-4,94] y p = 0,12). Los resultados obtenidos en este estudio muestran que pacientes sometidos a CC presentaron 2,25 veces más oportunidades de ocurrencia de ISQ que los sometidos a CV
Subject(s)
Humans , Cholecystectomy , Cholecystectomy, Laparoscopic , Surgical Wound Infection/epidemiologyABSTRACT
Objective To investigate the value of clinical use of laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis complicated with choledocholithiasis.Methods Of 120 patients suffering from cholecystolithiasis combined with choledocholithiasis,56 patients underwent laparoscopic cholecystectomy together with choledocholithotomy and T-tube drainage(LCTD),and 64 patients received routine cholecystectomy and choledocholithotomy plus T-tube drainage by laparotomy.Postoperative administration of analgesics,wound infection,recovery of function of gastrointestinal tract(RFGI),and hospital stay were compared between the two groups.Results In both groups,there were no severe complications.Wound infection rate was 12.5 %,average hospital stay was(14.9?3.1) d,and RFGI was(26.1?8.6) h in routine operation group;while in LCTD group,there was no wound infection occurred,hospital stay was(5.8?1.4) d and RFGI was(10.6?3.4) h.There were significant difference in postoperative recovery conditions between the two groups(P