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Single-incision laparoscopic cholecystectomy (SILC): a refined technique.
Abdelkader Hawasli1, Ahmed Kandeel, Ahmed Meguid
1Department of Minimally Invasive Surgery, St John Hospital and Medical Center, Detroit, MI, USA. eastsidesurgical@aol.com
American Journal of Surgery
|March 16, 2010
Summary
Single-incision laparoscopic cholecystectomy (SILC) offers an effective gallbladder removal method with improved cosmetic outcomes. This minimally invasive technique demonstrates comparable safety and operative times to traditional surgery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Gastrointestinal Surgery
Background:
- Laparoscopic surgery has seen trends toward reducing incisions since the 1990s.
- Natural-orifice transluminal endoscopic surgery has recently spurred interest in reduced-incision approaches.
Purpose of the Study:
- To evaluate the efficacy and safety of single-incision laparoscopic cholecystectomy (SILC).
- To assess the feasibility of a simplified and safe SILC technique.
Main Methods:
- Development and application of a modified single-incision laparoscopic cholecystectomy (SILC) technique.
- Procedures included SILC with and without cholangiography, and bi-incision access surgery (BIAS) for select cases.
Main Results:
- SILC was successfully completed in 61 of 71 patients.
- Average operative time for SILC without cholangiography was 49 minutes; with cholangiography, it was 67 minutes.
- High rates of same-day discharge were observed for SILC and BIAS procedures.
Conclusions:
- Single-incision laparoscopic cholecystectomy (SILC) or bi-incision access surgery (BIAS) is an effective method for gallbladder removal.
- These techniques offer comparable safety and length of stay to traditional laparoscopic cholecystectomy.
- SILC and BIAS provide superior cosmetic results compared to conventional methods.