Single-Port Laparascopic Cholecystectomy: Scarless Cholecystectomy

الملخص EN

Single-incision laparoscopic surgery is a new advanced technology to further minimize the invasiveness of laparoscopy through a single small incision hidden in the umbilicus.

The objective is to describe short and long-term outcomes of SILS cholecystectomy.

Methodology.

Patients with gallbladder pathologies were unselectively enrolled and were prospectively studied between April 2009 and April 2010 and completed a post-operative follow-up for 12 months.

Results.

There were 22 women and 8 men.

Mean age was 46 years.

Twenty-one patients had biliary colic, seven had acute cholecystitis, one had gallbladder polyp, and another had resolving acute pancreatitis.

Mean operative time was 104.3±44 minutes.

Mean BMI was 30.42 and the average pain score was 3.2±1.1.

One more port was inserted to help in finishing the procedure in one patient.

There was no conversion to a standard laparoscopic or open technique.

There was one post-operative bile collection from a missed cyctic duct of Luschka.

Mean hospital stay was 1.2 days.

Conclusion.

Single-port laparoscopic cholecystectomy is feasible.

Early conversion to a standard laparoscopic technique is advised to avoid serious complications.

The procedure has an obvious cosmetic benefit.

Additional prospective trials are necessary to define the benefits of single-port laparoscopic cholecystectomy.