Technical Progress in Single-Incision Laparoscopic Cholecystectomy in Our Initial Experience. (21st March 2011)

• Record Type: Journal Article
• Authors: Adachi, Tomohiko; Okamoto, Tatsuya; Ono, Shinichiro; Kanematsu, Takashi; Kuroki, Tamotsu
• Other Names: Wang Peng Hui Academic Editor.
• Is Part Of: Minimally invasive surgery. Volume 2011(2011)
• Publication Date: 2011-03-21
• Subjects: Endoscopic surgery -- Periodicals; 617.05705
• DOI: 10.1155/2011/972647
• Languages: English
• ISSNs: 2090-1445

Abstract

Abstract : Single-incision laparoscopic cholecystectomy (SILC) has rapidly spread throughout the world because of its low invasiveness and because it is a scarless procedure. Various surgical methods of performing SILC are present in each institute; however, it is necessary to develop a standardized procedure that we can perform safely, such as the conventional 4-port laparoscopic cholecystectomy (LC). The SILC experiment in our institute was started by use of the commercial SILS Port and changed from a 3-port method via an umbilicus to a 2-port method to improve some problems. Although none of the conversions to conventional 4-port LC and also none of the complications such as bile duct injury occurred in each method, the 2-port method functioned best and was also economical. However, it is most important to adopt strict criteria and select the patients suitable for SILC to demonstrate SILC safety same as 4-port LC.