Surgery Today

, Volume 45, Issue 3, pp 305–309 | Cite as

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

  • Tsuyoshi Igami
  • Taro Aoba
  • Tomoki Ebata
  • Yukihiro Yokoyama
  • Gen Sugawara
  • Masato Nagino
Original Article
First Online:
Received:
Accepted:

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.

Keywords

Single-incision laparoscopic cholecystectomy Percutaneous transhepatic gallbladder drainage Cholecystitis 
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Notes

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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Copyright information

© Springer Japan 2014

Authors and Affiliations

  • Tsuyoshi Igami
    • 1
  • Taro Aoba
    • 1
  • Tomoki Ebata
    • 1
  • Yukihiro Yokoyama
    • 1
  • Gen Sugawara
    • 1
  • Masato Nagino
    • 1
  1. 1.Division of Surgical Oncology, Department of SurgeryNagoya University Graduate School of MedicineNagoyaJapan

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