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

Initial Experience with Single-Incision Laparoscopic Cholecystectomy

2010 ◽  
Vol 76 (7) ◽  
pp. 703-707 ◽  
Author(s):  
Aaron Carr ◽  
Avinash Bhavaraju ◽  
John Goza ◽  
Russell Wilson
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Open Cholecystectomy ◽  
Biliary Colic ◽  
Initial Experience ◽  
Low Profile ◽  
Female Predominance ◽  
Conversion To Open Cholecystectomy ◽  
Standard Laparoscopic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy

Single-incision laparoscopic surgical procedures are being developed with the goal of improving cosmesis, reducing postoperative pain, and increasing patient satisfaction. We performed this study to evaluate our initial experience with single-incision laparoscopic cholecystectomy. We used an infraumbilical incision with two upper low-profile 5-mm ports and one lower standard 5-mm port and either a standard 30° Storz laparoscope or an Olympus deflectable tip laparoscope. All patients were followed postoperatively to evaluate the feasibility and outcomes of the procedure. A total of 60 gallbladders were successfully removed by this method (95.2% success rate). Three cases were converted to standard laparoscopic cholecystectomy (4.8% conversion rate) with no conversion to open cholecystectomy. There were no major complications (bile duct injury, liver injury, bowel injury, biliary leak). Median operative time was 51 ± 21 minutes. Diagnoses included cholelithiasis (55%), biliary dyskinesia (32%), biliary colic (13%), and one case of gangrenous cholecystitis. Median patient age was 47 years with a strong female predominance (87%). Our initial experience demonstrates that single-incision laparoscopic cholecystectomy is effective and safe. We are confident that single-incision laparoscopic cholecystectomy is a viable alternative to standard 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.

Initial Experience of Single Incision Laparoscopic Cholecystectomy (With Video)

2010 ◽  
Vol 20 (4) ◽  
pp. 243-246 ◽  
Author(s):  
Li Ching Li ◽  
Huang Ming-Te ◽  
Chen Soul-Chin ◽  
Wei Po-Li ◽  
Wu Chih-Hsiung ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Initial Experience ◽  
Single Incision Laparoscopic Cholecystectomy
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