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[SILS cholecystectomy--analysis of the first 100 patients]
A Vrzgula1, V Pribula, R Krajnicák
1III. chirurgická klinika SZU, Nemocnica Kosice-Saca a.s., 1. súkromná nemocnica, Slovenská republika. avrzgula@nemocnicasaca.sk
Aim:
The purpose of the study is to evaluate the results of the group of patients underwent SILS cholecystectomy and compare them with the literature evidence.
Material And Methods:
The retrospective analysis of the first 100 patients underwent cholecystectomy through single SILS port was performed. The operation was carried out with standard laparoscopic instruments. The average age, sex, BMI, mean operative time and the length of postoperative hospitalization were recorded.
Results:
The sex ratio was approximately 3:1 for women. The mean age in the group was 49 years, BMI 26.8 kg/m2, operative time 63 minutes and the length of postoperative hospitalization was 2.2 days. Two intraoperative complications were observed - cystis artery bleeding and leasion of common hepatic duct. Four patients required conversion to a conventional laparoscopic cholecystectomy and one to open procedure. Three wound complications during the postoperative period was observed.
Conclusion:
The results of analysis show the SILS cholecystectomy to be a good and comparable alternative to multiport cholecystectomy in the rate of complications, the length of hospitalization and postoperative recovery. The ideal candidates for the procedure are younger patients with lower BMI without the signs of acute inflammation. The further advantages, except excellent cosmetis result, is needed to confirm in randomized studies.
