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Minimally Invasive Surgery
Volume 2011 (2011), Article ID 915735, 5 pages
http://dx.doi.org/10.1155/2011/915735
Clinical Study

Single-Incision Cholecystectomy in about 200 Patients

1Department of Surgery, Vivantes Hospital Am Urban, Dieffenbachstrasse 1, 10967 Berlin, Germany
2Department of Surgery, Vivantes Hospital Spandau, 13585 Berlin, Germany
3Department of Surgery, Vivantes Hospital Spandau, Center for Minimally Invasive Surgery, Neue Bergstraße 6, 13585 Berlin, Germany

Received 7 March 2011; Accepted 8 May 2011

Academic Editor: Othmar Schöb

Copyright © 2011 Roland Raakow and Dietmar A. Jacob. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Aims. We describe our experience of performing transumbilical single-incision laparoendoscopic cholecystectomy as standard procedure for acute and chronic gallbladder diseases. Methods. Between September 2008 and March 2010, 220 patients underwent laparoscopic single-incision surgery. A single port was used for 196 patients and two conventional 5 mm and one 10 mm port in 24 cases. All operations were performed with straight instruments. Results. Single-incision surgery was successfully performed in 215 patients (98%). Three patients (1.4%) required conversion to a three-port technique and two patients (0.9%) to an open procedure. Average age of 142 women (65%) and 78 men (35%) was 47 years (range: 15–89), average ASA status 2 (range: 1–3) and BMI 28 (range: 15–49). Mean operative time was 62 minutes (range: 26–174) and 57 patients (26%) had histopathological signs of acute cholecystitis. Eleven patients (5%) developed to surgery-related complications and nine (4%) of these required a reoperation. The mean followup was 331.5 (range: 11–590) days. Conclusion. Transumbilical single-incision cholecystectomy is a feasible and safe new approach for routine cholecystectomy. After a short learning curve, operation time and complication rate are comparable with standard multiport operation. In addition, most cases of acute cholecystitis can be performed with this technique.