Table of Contents
ISRN Minimally Invasive Surgery
Volume 2012 (2012), Article ID 697946, 7 pages
http://dx.doi.org/10.5402/2012/697946
Clinical Study

Single-Port Laparoscopic Cholecystectomy Using the Innovative E. K. Glove Port: Our Experience

1International Hospital, Guwahati, Assam 781005, India
2Diphu Civil Hospital, Diphu, Assam 782460, India

Received 24 March 2012; Accepted 22 April 2012

Academic Editors: F. Agresta and A. Umezawa

Copyright © 2012 Elbert Khiangte et al. 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

The technique of laparoscopic cholecystectomy continues to evolve with a trend towards decreasing use of working ports. One of the emerging concepts of 21st century is single-port surgery. It has further minimized the minimally invasive surgery. However, the main drawbacks of this technique are the lack of “triangulation” to which the laparoscopic surgeons have grown accustomed to, the clustering of instruments, and the costly multichannel ports, which are very costly and, in fact, are not affordable by the majority of the population in a developing country like India. From September 2009 to December 2011, 210 patients identified as having biliary colic, chronic cholecystitis, and previous biliary pancreatitis or obstructive jaundice due to stones (managed by ERCP) underwent single-port laparoscopic cholecystectomy using the E. K. glove port. The operating time was reasonable and can be lessened with experience. Excellent exposure of the critical view was obtained in all cases. This technique is safe, feasible, reproducible, cheap, and easy to learn. It may be an alternative to the currently available single-port access system, especially in a developing country like India. If required, placement of the remaining two to three ports for a more conventional laparoscopic cholecystectomy can be done.