Abstract
The aim of this study was to verify feasibility and safety of single incision laparoscopic cholecystectomy using conventional surgical instruments. Twenty patients underwent single incision laparoscopic cholecystectomy. Indications for cholecystectomy were symptomatic cholelithiasis. Operative time, postoperative length of stay, intraoperative and postoperative complications, postoperative pain (by visual analogue scale), and patient cosmetic satisfaction were considered. All 20 procedures were successfully concluded without additional skin incisions. The mean operative time was 69 ± 16 min with a trend toward a reduction in operating time with increasing surgical experience. Intraoperative bile leakages for gallbladder rupture were observed in only three cases. No postoperative complications were recorded. The median pain scale value was 3 and the median value of cosmetic satisfaction was 3. The mean postoperative length of stay was 1.3 ± 0.9 days. Single incision laparoscopic cholecystectomy with conventional surgical instruments is a feasible and safe procedure, but additional studies in larger series are needed to confirm our results.
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References
Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I (1997) One wound laparoscopic cholecystectomy. Br J Surg 84:695
Bittner R (2004) The standard of laparoscopic cholecystectomy. Langenbecks Arch Surg 389:157–163
Keus F, Werner JE, Gooszen HG, Oostvogel HJ, van Laarhoven CJ (2008) Randomized clinical trial of small-incision and laparoscopic cholecystectomy in patients with symptomatic cholecystolithiasis: primary and clinical outcomes. Arch Surg 143:371–377
Chamberlain RS, Sakpal SV (2009) A comprehensive review of single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) techniques for cholecystectomy. J Gastrointest Surg 13:1733–1740
Tacchino R, Greco F, Matera D (2009) Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc 23:896–899
Philipp SR, Miedema BW, Thaler K (2009) Single incision laparoscopic cholecystectomy using conventional instruments: early experience in comparison with gold standard. J Am Coll Surg 5:632–637
Zhu JF, Hu H, Ma YZ, Xu MZ (2009) Totally transumbilical endoscopic cholecystectomy without a visible abdominal scar using improved instruments. Surg Endosc 23:1781–1784
Binenbaum SJ, Teixeira JA, Forrester GJ et al (2009) Single incision laparoscopic cholecystectomy using a flexible endoscope. Arch Surg 144:734–738
Romanelli JR, Mark L, Omotosho PA (2008) Single port laparoscopic cholecystectomy with the TriPort system: a case report. Surg Innov 15:223–228
Bucher P, Pugin F, Buchs N, Ostermann S, Charara F, Morel P (2009) Single port access laparoscopic cholecystectomy (with video). World J Surg 33:1015–1019
Hong TH, You YK, Lee KH (2009) Transumbilical single-port laparoscopic cholecystectomy scarless cholecystectomy. Surg Endosc 23:1393–1397
Ponsky TA (2009) Single port laparoscopic cholecystectomy in adults and children: tools and technique. J Am Coll Surg 209:1–6
Elazary R, Khalaileleh A, Zamir G et al (2009) Single-trocar cholecystectomy using a flexible endoscope and articulating laparoscopic instruments: a bridge to notes or the final form? Surg Endosc 23:969–972
Langwieler TE, Nimmesgern T, Back M (2009) Single port access in laparoscopic cholecystectomy. Surg Endosc 23:1138–1141
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Cantore, F., Colombo, E.M., Giuseppe, M.D. et al. Single access cholecystectomy using standard laparoscopic instruments. Updates Surg 63, 31–34 (2011). https://doi.org/10.1007/s13304-011-0046-y
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DOI: https://doi.org/10.1007/s13304-011-0046-y