Single incision tans-umbilical laparoscopic cholecystectomy using conventional laparoscopic instruments: initial experience of single institute

ABSTRACT

Laparoscopic cholecystectomy [LC] had been considered the gold standard treatment for symptomatic gall bladder [GB] stones. Single incision laparoscopic cholecystectomy [SILC] was emerged as a less invasive alternative with better cosmesis and less post operative pain. This study evaluated the feasibility, safety, advantages and complications of SILC using the conventional laparoscopic instruments. A total of 52 patients [47 females and 5 males] with symptomatic GB stones underwent elective SILC using the conventional laparoscopic instruments. The mean operative time was 61.75 min and the mean estimated blood loss was 17.21 ml. Gall bladder perforation occurred in 5 cases [9.6%] in which 3 cases calculi spillage occurred. Troublesome cystic artery bleeding occurred in 2 cases [3.8%] while gall bladder bed bleeding happened in 1 case [1.9%]. An intraoperaive cholangiogram was performed in 3 cases and a drain was inserted in one case. No conversions of the technique occurred. 49 patients discharged in the first post operative day and 3 patients [5.8%] in the 2nd day. Three month post-operative wound length was an average of 1.58 cm while patient satisfaction of the surgery was an average of 9.32