ABSTRACT
Objective: We describe our experience of single-incision laparoscopic splenectomy [SILS] for an unruptured aneurysm of the splenic artery
Clinical Presentation and Intervention: A 73-year-old woman was diagnosed as having a splenic aneurysm which grew from 14 to 22 mm in diameter within 2 years. Due to a contrast agent allergy, transcatheter arterial embolization could not be performed; therefore, SILS was performed with a 4-cm Z-shaped incision. The operative time and intraoperative blood loss were 132 min and 27 ml, respectively. The patient was discharged 4 days after surgery
Conclusion: In selected cases, SILS is a suitable and safe procedure for an unruptured aneurysm of the splenic artery
ABSTRACT
To report a single-incision laparoscopic Cholecystectomy [SILC] for a patient with cholecystitis that required endoscopic nasogallbladder drainage [ENGBD]. A 75-year-old man was diagnosed with moderate acute cholecystitis and underwent an-tiplatelet therapy for a history of brain infarction. An ENGBD was performed as an initial treatment for his cholecystitis. After recovery from the cholecystitis, a SILC was performed using a SILS Port with an additional forceps. Because neither Rouviere's sulcus nor Calot's triangle could be identified with a favorable laparoscopic view, the fundus-first procedure was selected. The patient's postoperative course was uneventful, and he was discharged from the hospital on day 3 after surgery. In this case of a patient who had cholecystitis that required ENGBD, a SILC was successful performed using a combination of SILS Port with additional forceps and fundus-first procedure