About this Journal Submit a Manuscript Table of Contents
Minimally Invasive Surgery
Volume 2012 (2012), Article ID 204380, 5 pages
http://dx.doi.org/10.1155/2012/204380
Clinical Study

Single-Port Laparascopic Cholecystectomy: Scarless Cholecystectomy

General Surgery Division, Department of Surgery, King Khalid University Hospital and College of Medicine, King Saud University, P.O. Box 7805 (37), Riyadh 11472, Saudi Arabia

Received 5 January 2012; Accepted 16 February 2012

Academic Editor: Casey M. Calkins

Copyright © 2012 Ahmad Mohmmad Zubaidi. 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

Objective. 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.