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Single-incision laparoscopic cholecystectomy for porcelain gallbladder: a case report
Tsuyoshi Igami1, Hiroaki Usui, Tomoki Ebata
1Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. igami@med.nagoya-u.ac.jp
Asian Journal of Endoscopic Surgery
|January 26, 2013
Summary
Single-incision laparoscopic cholecystectomy (SILC) offers a successful minimally invasive option for porcelain gallbladder removal. This technique provides excellent cosmetic results and a safe alternative to traditional laparoscopic surgery.
Area of Science:
- Surgical Innovation
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Porcelain gallbladder, a rare manifestation of chronic cholecystitis, involves gallbladder wall calcification.
- Single-incision laparoscopic cholecystectomy (SILC) is typically used for uncomplicated gallstones.
- This study explores SILC's applicability in porcelain gallbladder cases.
Observation:
- A 67-year-old woman with porcelain gallbladder underwent SILC.
- The procedure utilized a SILS Port and 5-mm forceps via an umbilical incision.
- Strategic omental preservation facilitated clear visualization of the cystic artery and duct.
Findings:
- The SILC procedure for porcelain gallbladder was completed successfully.
- Operative time was 66 minutes with minimal blood loss (<1 mL).
- The patient experienced a short hospital stay (3 days) and was pleased with cosmetic outcomes.
Implications:
- SILC presents a viable and effective alternative to conventional laparoscopic cholecystectomy for porcelain gallbladder.
- This approach may enhance patient satisfaction due to improved cosmesis.
- Further research can validate SILC as a standard treatment for this condition.
