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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 7, 2015; 21(45): 12857-12864
Published online Dec 7, 2015. doi: 10.3748/wjg.v21.i45.12857
Published online Dec 7, 2015. doi: 10.3748/wjg.v21.i45.12857
Innovative technique of needlescopic grasper-assisted single-incision laparoscopic common bile duct exploration: A comparative study
Say-June Kim, Department of Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon 301-723, South Korea
Kee-Hwan Kim, Chang-Hyeok An, Jeong-Soo Kim, Department of Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu-shi 480-717, Gyeonggi-do, South Korea.
Author contributions: Kim KH designed the study and approved the final version for publication; Kim SJ, An CH and Kim JS contributed equally to acquiring and analyzing the data; Kim SJ and Kim KH interpreted the data; Kim SJ wrote the manuscript.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee at Uijeongbu St. Mary’s Hospital (IRB code: UC15RISI0027).
Informed consent statement: The IRB has approved the informed consent procedures would appropriately be waived for all subject due to the nature of this study (retrospective analysis).
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at keehwan@catholic.ac.kr.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Kee-Hwan Kim, MD, PhD, Department of Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, #271, Cheonbo-ro, Uijeongbu-shi 480-717, Gyeonggi-do, South Korea. keehwan@catholic.ac.kr
Telephone: +82-31-8203562 Fax: +82-31-8472717
Received: March 26, 2015
Peer-review started: March 30, 2015
First decision: May 18, 2015
Revised: May 22, 2015
Accepted: September 2, 2015
Article in press: September 2, 2015
Published online: December 7, 2015
Peer-review started: March 30, 2015
First decision: May 18, 2015
Revised: May 22, 2015
Accepted: September 2, 2015
Article in press: September 2, 2015
Published online: December 7, 2015
Core Tip
Core tip: Though single-incision laparoscopic surgery has been applied in various fields worldwide, the reports on the single-incision laparoscopic common bile duct exploration (SIL-CBDE) are very limited, possibly due to technical difficulties. In this study, we were intended to overcome these difficulties by using additional 2-mm needlscopic grasper. This grasper is separately entered into the right abdomen by a puncture, and helps to form a stable trangulation with the transumbilically placed instruments. Our SIL-CBDE resulted in comparable surgical outcomes as conventional laparoscopic CBDE, indicating that the nSIL-CBDE is not only cosmetically acceptable but also provides both operative safety and feasibility.