Transumbilical Single-Incision Laparoscopic Cholecystectomy with Conventional Instruments and Ports: The Way Forward?

2011 ◽  
Vol 21 (6) ◽  
pp. 497-503 ◽  
Author(s):  
Rajeev Sinha
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Conventional Instruments ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
The Way

scholarly journals Single-Incision Laparoscopic Cholecystectomy with Conventional Instruments: A Surgeon’s Initial Experience

2014 ◽  
Vol 05 (07) ◽  
pp. 299-305
Author(s):  
Mehmet Zafer Sabuncuoglu ◽  
Aylin Sabuncuoglu ◽  
Isa Sozen ◽  
Gulsum Tozlu ◽  
Mehmet Fatih Benzin ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Initial Experience ◽  
Conventional Instruments ◽  
Single Incision Laparoscopic Cholecystectomy

scholarly journals Evolution of SILS Cholecystectomy in the Caribbean: The Direct Transfascial Puncture Technique Using Conventional Instruments without Working Ports

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Shamir O. Cawich ◽  
Dexter Thomas ◽  
Dale Hassranah ◽  
Vijay Naraynsingh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Fascial Closure ◽  
Umbilical Incision ◽  
Conventional Laparoscopic ◽  
Conventional Instruments ◽  
Feasible Option ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
The Caribbean ◽  
Puncture Technique

Introduction.Single incision laparoscopic cholecystectomy (SILC) has become accepted as an alternative to conventional multiport cholecystectomy. However, SILC is still limited in applicability in low resource centres due to the expense associated with specialized access platforms, curved instruments, and flexible scopes.Presentation of Case.We present three cases where a modified SILC technique was used with conventional instruments and no working ports. The evolution of this technique is described.Discussion.In order to contain cost, we used conventional instruments and three transfascial ports placed in an umbilical incision, but we noted significant instrument clashes that originated at the port platforms. Therefore, we modified our technique by omitting ports for the working instruments. The technique allowed us to exchange instruments as necessary, maximized ergonomics, and prevented collisions from the bulky port platforms. Finally, the puncture left by the instrument alone did not require fascial closure at the termination of the procedure.Conclusion.The direct transfascial puncture using conventional laparoscopic instruments without working ports is a feasible option that minimizes cost and increases ergonomics.

scholarly journals Single Incision Laparoscopic Cholecystectomy by Using a 2 mm Atraumatic Grasper without Trocar

HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Kamil Gulpinar ◽  
Suleyman Ozdemir ◽  
S. Erpulat Ozis ◽  
Turgut Aydin ◽  
Atila Korkmaz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Abdominal Wall ◽  
Single Incision ◽  
Single Port ◽  
Operation Time ◽  
Scar Formation ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Skin Scar

Purpose. We present our experience in single incision laparoscopic cholecystectomy by using a grasper directly without using a trocar in five patients. Methods and Results. The technique involves the use of Karl Storz 27290F grasper in order to perform gallbladder retraction in single port cholecystectomy. The grasper was introduced directly into the skin through abdominal wall without using any trocar and used to mobilize gallbladder whenever needed during surgery without causing any perforation or leakage of the gallbladder. There were no intraoperative and postoperative complications in 5 patients with the advantages of shorter operation time and almost invisible postoperative skin scar formation. Conclusion. We claim that the use of this instrument in SILS surgery might be advantageous than the conventional placement of sutures for the gallbladder mobilization.

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