Transumbilical Single-incision Laparoscopic Surgery for Harvesting Rib and Costal Cartilage

Lu Zhang, MD, PhD; Haizhong Huo, MD, PhD; Hongjie Li, MD, PhD; Meng Luo, MD, PhD; Feng Wang, MD, PhD; Yixiong Zhou, MD, PhD; Qingfeng Li, MD, PhD; Yuguang Zhang, MD, PhD

doi:10.1097/GOX.0000000000004161

Plastic and Reconstructive Surgery, Global Open (Mar 2022)

Transumbilical Single-incision Laparoscopic Surgery for Harvesting Rib and Costal Cartilage

Lu Zhang, MD, PhD,
Haizhong Huo, MD, PhD,
Hongjie Li, MD, PhD,
Meng Luo, MD, PhD,
Feng Wang, MD, PhD,
Yixiong Zhou, MD, PhD,
Qingfeng Li, MD, PhD,
Yuguang Zhang, MD, PhD

Affiliations

Lu Zhang, MD, PhD: From the * Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Haizhong Huo, MD, PhD: † Department of general surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Hongjie Li, MD, PhD: † Department of general surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Meng Luo, MD, PhD: † Department of general surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Feng Wang, MD, PhD: ‡ Department of Thoracic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Yixiong Zhou, MD, PhD: ‡ Department of Thoracic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Qingfeng Li, MD, PhD: From the * Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Yuguang Zhang, MD, PhD: From the * Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

DOI: https://doi.org/10.1097/GOX.0000000000004161
Journal volume & issue: Vol. 10, no. 3
p. e4161

Abstract

Read online

Background:. The study aimed to introduce a rib and costal cartilage harvesting surgery by transumbilical single-incision laparoscopy and evaluate its efficiency and safety. Methods:. Patients who underwent rib and costal cartilage harvest under different approaches (direct open approach and transumbilical) were collected in this retrospective study. The differences in the pain scores [visual analog scale (VAS)], postoperative appearance, and complications were compared between the two groups at 1, 2, 3, and 7 days after surgery. In addition, based on the minimal clinically important difference and the generalized estimating equation, the differences were compared between the two groups in terms of the VAS score. Results:. On postoperative day 1, the VAS scores of the direct open approach group and the transumbilical group were significantly different, that is, 7.29 and 6.10, respectively (P < 0.001). Also, the generalized estimating equation results were different (P < 0.001). An interaction was observed between different groups and days, that is, a statistical difference was observed in the VAS score between the two groups (P < 0.001). In terms of aesthetics and complications, patients from the transumbilical group had no scars on the chest wall and no obvious postoperative complications. Conclusions:. Transumbilical single-incision laparoscopic surgery is an innovative surgical approach for harvesting ribs and costal cartilage, which leaves no scars on the skin of the chest wall and has the advantages of slight postoperative pain, quick recovery, and fewer complications. This novel surgery is beneficial to patients with higher aesthetic requirements.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

About the journal