Single-incision Laparoscopic Surgery for Simultaneous Appendectomy and Cholecystectomy

ABSTRACT

Single-incision laparoscopic surgery (SILS) has become popular due to the advantage of minimizing surgical. We report on two cases of simultaneous appendectomy and cholecystectomy using a single-incision laparoscopic technique. The patients were 49- and 50-year old females diagnosed with acute appendicitis with concomitant cholelithiasis. Body mass indices of the patients were 22.3 and 26.0. A 3 cm abdominal incision was made via the umbilicus, and a single port platform was created using a small wound retractor (ALEXIS(R) wound retractor S, Applied Medical, Santa Margarita, CA, USA) and a surgical glove. Cholecystectomy was performed first, followed by the appendectomy. The operation times were 165 and 280 minutes, and blood loss was 50 and 150 cc, respectively. The postoperative hospital stays were five and seven days, and one patient had a wound seroma as a surgical complication. We believe that SILS for simultaneous appendectomy and cholecystectomy is a feasible and safe minimally invasive procedure.