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Single incision laparoscopic cholecystectomy: a single center experience
Pratibha Vemulapalli1, Emmanuel Atta Agaba, Diego Camacho
1Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
International Journal of Surgery (London, England)
|April 26, 2011
Summary
Single Incision Laparoscopic Surgery (SILS) cholecystectomy is a safe alternative to conventional methods. This minimally invasive approach offers improved cosmetic outcomes and patient satisfaction with a low complication rate.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Single Incision Laparoscopic Surgery (SILS) involves placing trocars through the umbilicus for scar concealment.
- SILS cholecystectomy aims to provide a cosmetic advantage over conventional laparoscopic surgery.
Purpose of the Study:
- To evaluate the safety and efficacy of Single Incision Laparoscopic Surgery (SILS) cholecystectomy.
- To compare SILS cholecystectomy with conventional laparoscopic cholecystectomy.
Main Methods:
- Retrospective review of 205 SILS cholecystectomies (SILC) performed between May 2008 and June 2010.
- Initial cases used a veress needle and separate ports; later cases employed a cut-down umbilical approach with a multi-trocar SILS port.
Main Results:
- 205 patients underwent SILC with a median age of 45 and mean BMI of 35.
- Mean operative time was 60 minutes; 3% required an additional umbilical port, and no cases were converted to open surgery.
- Complications occurred in 4% of cases, including retained stones, wound infections, umbilical hernias, and one veress injury.
Conclusions:
- Single Incision Laparoscopic Surgery (SILS) cholecystectomy is a safe procedure.
- SILS offers superior cosmetic results, potentially enhancing patient satisfaction.