Single incision laparoscopic surgery cholecystectomy: a preliminary experience.
BACKGROUND
Single incision laparoscopic surgery (SILS) has recently been introduced as an alternative to natural orifice transluminal endoscopic surgery for scarless abdominal surgery. We report our preliminary experience with SILS cholecystectomy.


METHODS
Six patients underwent elective laparoscopic cholecystectomy for symptomatic gallbladder stones through a single umbilical incision.


RESULTS
All procedures were completed successfully except for 1 case of gallbladder wall perforation by cautery that required 2 additional 5-mm ports. Mean operating time was 50 min (range, 20-110 min). There were no postoperative complications. Four patients were discharged within 24 hours and the other 2 within 48 hours. The cosmetic results were scored as excellent by all patients.


CONCLUSIONS
SILS cholecystectomy is feasible with standard laparoscopic instruments, and provides a promising alternative to natural orifice transluminal endoscopic surgery for scarless laparoscopic cholecystectomy.
Iannelli
Antonio
A
Service de Chirurgie Digestive et Transplantation Hépatique, Hôpital Archet 2, Pôle Digestif and Faculté de Médecine, Université de Nice-Sophia-Antipolis, Nice, France. antonio_iannelli@hotmail.com
Schneck
Anne Sophie
AS
Ioia
Giovanna
G
Gugenheim
Jean
J
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D042882:Gallstones / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome; D014472:Umbilicus; D055815:Young Adult