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Published on: November 25, 2025
Single-incision laparoscopic cholecystectomy: surgery without a visible scar
R Tacchino1, F Greco, D Matera
1Department of Surgery, Catholic University of Sacred Heart, Rome, Italy.
Surgical Endoscopy
|September 26, 2008
Summary
Single-incision laparoscopic cholecystectomy (SILS) offers a less invasive approach to gallbladder surgery. This technique proved feasible, safe, and effective in 12 patients, with operative times decreasing significantly after initial cases.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy is the standard for gallbladder removal.
- There is a continuous drive towards less invasive surgical techniques.
Purpose of the Study:
- To evaluate the feasibility, safety, and effectiveness of single-incision laparoscopic cholecystectomy (SILS).
Main Methods:
- A single 12-mm umbilical incision was used for SILS.
- Pneumoperitoneum was established, and trocars were placed for instrument insertion.
- Gallbladder dissection and removal were performed using specialized instruments and sutures for optimal exposure.
Main Results:
- SILS cholecystectomy was performed on 12 patients without major complications.
- Eight patients had prior laparoscopic surgery, and three had a BMI > 35.
- Operative time reduced from 3 hours to approximately 50 minutes after the first five cases.
Conclusions:
- Single-incision laparoscopic cholecystectomy is a feasible, safe, and effective surgical option.
- The technique demonstrates a learning curve with decreasing operative times.
- SILS represents a step towards more minimally invasive gallbladder surgery.