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Single-incision laparoscopic cholecystectomy for cholecystitis requiring percutaneous transhepatic gallbladder drainage

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Abstract

Purpose

Single-incision laparoscopic cholecystectomy (SILC) has been performed for patients with gallbladder stones but without acute cholecystitis. We report our experience of performing SILC for patients with cholecystitis requiring percutaneous transhepatic gallbladder drainage (PTGBD).

Methods

We performed SILC via an SILS-Port with additional 5-mm forceps through an umbilical incision in ten patients with cholecystitis requiring PTGBD.

Results

All procedures were completed successfully. The mean operative time was 124 min (range 78–169 min) and there were no intraoperative or postoperative complications. The mean postoperative hospital stay was 2.7 days. All patients were satisfied with the cosmetic results.

Conclusions

Our procedure may represent an alternative to conventional laparoscopic cholecystectomy (CLC) for patients who fervently demand the cosmetic advantages, despite cholecystitis requiring PTGBD. SILC should be performed carefully to avoid bile duct injury because the only advantage of SILC over CLC is cosmetic.

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References

  1. Yoshida M, Takada T, Kawarada Y, Tanaka A, Nimura Y, Gomi H, et al. Antimicrobial therapy for acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14:83–90.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. One-wound laparoscopic cholecystectomy. Br J Surg. 1997;84:695.

    Article  CAS  PubMed  Google Scholar 

  3. Ersin S, Firat O, Sozbilen M. Single-incision laparoscopic cholecystectomy: is it more than a challenge ? Surg Endosc. 2010;24:68–71.

    Article  PubMed  Google Scholar 

  4. Rawlings A, Hodgett SE, Matthews BD, Strasberg SM, Quasebarth M, Brunt M. Single-incision laparoscopic cholecystectomy: initial experience with critical view of safety dissection and routine intraoperative cholangiography. J Am Coll Surg. 2010;211:1–7.

    Article  PubMed  Google Scholar 

  5. Iannelli A, Schneck AS, Ioia G, Gugenhein J. Single incision laparoscopic surgery cholecystectomy: a preliminary experience. Surg Laparosc Endosc Percutan Tech. 2010;20:e89–91.

    Article  PubMed  Google Scholar 

  6. Hirano Y, Watanabe T, Uchida T, Yoshida S, Tawaraya K, Kato H, et al. Single-incision laparoscopic cholecystectomy: single institution experience and literature review. World J Gastroenterol. 2010;16:270–4.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Kirchniak A, Bollmann S, Pointner R, Granderath FA. Transumbilical single-incision laparoscopic cholecystectomy: preliminary experiences. Surg Laparosc Endosc Percutan Tech. 2009;19:436–8.

    Article  Google Scholar 

  8. Hyashi M, Asakuma M, Komeda K, Miyamoto Y, Hirokawa F, Tanigawa N. Effectiveness of a surgical glove port for single port surgery. World J Surg. 2010;34:2487–9.

    Article  Google Scholar 

  9. Merchant AM, Cook MW, White BC, Davis SS, Sweeney JF, Lin E. Transumbilical gelport access technique for performing single incision laparoscopic surgery (SILS). J Gastrointest Surg. 2009;13:159–62.

    Article  PubMed  Google Scholar 

  10. Elsey JK, Feliciano DV. Initial experience with single-incision laparoscopic cholecystectomy. J Am Coll Surg. 2010;210:620–4.

    Article  PubMed  Google Scholar 

  11. Kia MA, Lee C, Martinez JM, Zundel N. Single port cholecystectomy: the pathway back to a standardized technique. Surg Laparosc Endosc Percutan Tech. 2011;21:314–7.

    Article  PubMed  Google Scholar 

  12. Antoniou SA, Pointner R, Granderath FA. Single-incision laparoscopic cholecystectomy: a systematic review. Surg Endosc. 2011;25:367–77.

    Article  PubMed  Google Scholar 

  13. Hirota M, Takada T, Kawarada Y, Nimura Y, Miura F, Hirata K, et al. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14:78–82.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Tsuyuguchi T, Takada T, Kawarada Y, Nimura Y, Wada K, Nagino M, et al. Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14:46–51.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Yamashita Y, Takada T, Kawarada Y, Nimura Y, Hirota M, Miura F, et al. Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14:91–7.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A. Laparoscopic subtotal cholecystectomy: a review of 56 procedures. J Laparoendosc Adv Surg Tech. 2000;10:31–4.

    Article  CAS  Google Scholar 

  17. Bresadola F, Pasqualucci A, Donini A, Chiarandini P, Anania G, Terrosu G, et al. Elective transumbilical compared with standard laparoscopic cholecystectomy. Eur J Surg. 1999;165:29–34.

    Article  CAS  PubMed  Google Scholar 

  18. Philipp SR, Miedema BW, Thaler K. Single-incision laparoscopic cholecystectomy using conventional instruments: early experience in comparison with the gold standard. J Am Coll Surg. 2009;209:632–7.

    Article  PubMed  Google Scholar 

  19. Gangl O, Hofer W, Tomaselli F, Sautner T, Fugger R. Single incision laparoscopic cholecystectomy (SILC) versus laparoscopic cholecystectomy (LC)—a matched pair analysis. Langenbecks Arch Surg. 2011;396:819–24.

    Article  PubMed  Google Scholar 

  20. Lai EC, Yang GP, Tang CN, Yih PC, Chan OC, Li MK. Prospective randomized comparative study of single incision laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy. Am J Coll Surg. 2011;202:254–8.

    Article  Google Scholar 

  21. Khambaty F, Brody F, Vaziri K, Edwards C. Laparoscopic versus single-incision cholecystectomy. World J Surg. 2011;35:967–72.

    Article  PubMed  Google Scholar 

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Conflict of interest

Drs. T. Igami, T. Aoba, T. Ebata, Y. Yokoyama, G. Sugawara, and M. Nagino have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan

    Tsuyoshi Igami, Taro Aoba, Tomoki Ebata, Yukihiro Yokoyama, Gen Sugawara & Masato Nagino

Authors
  1. Tsuyoshi Igami
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  2. Taro Aoba
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  3. Tomoki Ebata
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  4. Yukihiro Yokoyama
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  5. Gen Sugawara
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  6. Masato Nagino
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Correspondence to Tsuyoshi Igami.

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Igami, T., Aoba, T., Ebata, T. et al. Single-incision laparoscopic cholecystectomy for cholecystitis requiring percutaneous transhepatic gallbladder drainage. Surg Today 45, 305–309 (2015). https://doi.org/10.1007/s00595-014-1003-4

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  • DOI: https://doi.org/10.1007/s00595-014-1003-4

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