Journal of Gastrointestinal Surgery

, Volume 14, Issue 3, pp 506–510

Single-Incision Laparoscopic Cholecystectomy: A Surgeon’s Initial Experience with 56 Consecutive Cases and a Review of the Literature

  • Kurt E. Roberts
  • Daniel Solomon
  • Andrew J. Duffy
  • Robert L. Bell
Original Article

DOI: 10.1007/s11605-009-1116-z

Cite this article as:
Roberts, K.E., Solomon, D., Duffy, A.J. et al. J Gastrointest Surg (2010) 14: 506. doi:10.1007/s11605-009-1116-z

Abstract

Background

We describe the results of a single surgeon’s initial experience with single-incision laparoscopic cholecystectomy through his first 56 cases and provide a brief literature review on the development of this technique.

Methods

Through a 2-cm vertical transumbilical incision, three 5-mm ports were placed using the Veress technique. One extracorporeal suture was utilized to provide cephalad retraction of the fundus, and a roticulating instrument grasping the infundibulum provided lateral retraction. The hilum was dissected, and the cystic duct and artery were clipped and divided. One 5-mm port was upgraded to a 10-mm port to allow the introduction of a retrieval bag, and the gallbladder was removed from the abdomen.

Results

Of 56 patients, 54 successfully underwent a single-incision laparoscopic cholecystectomy. Two patients required conversion to either a conventional laparoscopic cholecystectomy or open cholecystectomy. The average age was 41 years (18–77) and the average BMI, 30.2 kg/m2 (18.5–44.6). Mean operative time was 80 min (41–186). Length of stay was 0.3 days (0–2). The complication rate was 3/56 (5.4%).

Conclusions

Our results suggest that single-incision laparoscopic cholecystectomy is a safe and effective alternative to four-port laparoscopic cholecystectomy that provides surgeons with an alternative minimally invasive surgical option and the ability to hide the surgical incision within the umbilicus.

Keywords

Laparoscopy Cholecystectomy Surgical procedures Minimally invasive 

Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Kurt E. Roberts
    • 1
    • 2
  • Daniel Solomon
    • 1
  • Andrew J. Duffy
    • 1
  • Robert L. Bell
    • 1
  1. 1.Department of SurgeryYale University School of MedicineNew HavenUSA
  2. 2.Section of Gastrointestinal SurgeryYale University School of MedicineNew HavenUSA

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