Single-incision laparoscopic cholecystectomy: the first Malaysian experience

Area of Science:

• Minimally Invasive Surgery
• Surgical Innovation
• Gastrointestinal Surgery

Background:

• Single-incision laparoscopic cholecystectomy (SILC) is an advanced minimally invasive surgical technique.
• It involves using a single incision for all instruments and inline viewing.
• This study reports initial experiences with SILC in a tertiary hospital setting.

Purpose of the Study:

• To evaluate the feasibility and clinical outcomes of single-incision laparoscopic cholecystectomy (SILC).
• To assess patient recovery, pain, and satisfaction following SILC.
• To document the initial experience of a single surgeon using the SILC technique.

Main Methods:

• A total of 21 patients with symptomatic cholelithiasis underwent SILC.
• Procedures utilized a single umbilical incision (2.0-2.5 cm) and specialized port system.
• Standard laparoscopic instruments and a 30° angled scope were employed.

Main Results:

• Nineteen patients (8 male, 11 female; mean age 43) successfully completed SILC.
• Mean operative time was 89 minutes with minimal blood loss.
• Patients experienced short postoperative stays (mean 1.1 days), low pain scores, high satisfaction with scarring and overall outcomes, and a quick return to normal activities (mean 8.8 days).

Conclusions:

• Single-incision laparoscopic cholecystectomy (SILC) is a feasible surgical option.
• The technique demonstrates good clinical outcomes, including high patient satisfaction and rapid recovery.
• SILC represents a promising advancement in minimally invasive gallbladder surgery.