Single incision laparoscopic surgery (SILS) cholecystectomy. A novel technique.
BACKGROUND
Since early nineties, laparoscopic cholecystectomy has become gold standard for cholecystectomy. Also, a high tendency of minimizing surgical trauma encourages the use of new approaches in laparoscopic surgery. A novel approach such as Single incision laparoscopic surgery (SILS) cholecystectomy has been describes.


METHODS
We report on a case of a 33-year-old female patient scheduled for elective laparoscopic cholecystectomy due to symptomatic ultrasonography verified cholelithiasis. A single 2.5-cm long semicircular infraumbilical skin incision was used. Pneumoperitoneum was established alter introduction of the predesigned trocar. Antegrade cholecystectomy was performed without stay suture placement. Postoperative course was uneventful.


CONCLUSIONS
This article reports the authors' method of performing SILS cholecystectomy. SILS approach is feasible with new standard devices from the industry that offers slightly modified instruments for standard laparoscopic cholecystectomy.


CONCLUSIONS
Single-incision laparoscopic surgery is a feasible way to perform cholecystectomy. A learning-curve is required and further work in the form of randomized controlled trials is needed to investigate the advantages of this new technique.
General Surgery Department, Universitary Hospital Vall d'Hebron, Barcelona, Spain. vilallongapuy@hotmail.com
R
R
Vilallonga
R A
RA
Stoica
A
A
Cotirlet
M
M
Armengol
N
N
Iordache
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D017060:Patient Satisfaction; D016896:Treatment Outcome