title: [Single incision laparoscopic cholecystectomy: preliminary experience].
abstract: BACKGROUND
  The Authors describe our preliminary experience with the cholecistectomy with the S.I.L.S. (Single Incision Laparoscopic Surgery), with a multilumen trocar and dedicated laparoscopic instruments.
  
  
  METHODS
  Five operations of laparoscopic cholecistectomy with S.I.L.S. technique (3 men and 2 women), of age between 26 and 52 years are reported.
  
  
  RESULTS
  In one case was applied an additional 5 mm trocar in the right ipocondrium; in two cases a transparietal suture to suspend the gallbladder was used. Operative time was 98 minutes for the first operation, and 45-65 minutes for the following. The operators have been some difficulties to moving the instruments because both the operating instruments and laparoscope are introduced through the same incision and on the same axis, the operator and assistant often impede the movements of each other. Any post-operative complications was registered. All the patients was very satisfied with post-operative pain and aesthetic results.
  
  
  CONCLUSIONS
  The S.I.L.S. is a new technique already used in general surgery, urology and ginecology with good results; this surgey is probably destinated to improve his tecnique and instruments, but certainly it going to offer a further push of the mini-invasive "philosophy".
authors.affiliation: Unità Operativa di Chirurgia d'Urgenza, Azienza Ospedaliera Regionale "S. Carlo", Potenza. paolocaia@virgilio.it
authors.forename: Paolo
authors.initials: P
authors.lastname: Caiazzo
authors.forename: Giovanni
authors.initials: G
authors.lastname: Del Vecchio
authors.forename: Michele
authors.initials: M
authors.lastname: Albano
authors.forename: Andrea
authors.initials: A
authors.lastname: Loffredo
authors.forename: Francesco
authors.initials: F
authors.lastname: Calbi
authors.forename: Antonio
authors.initials: A
authors.lastname: Comentale
authors.forename: Pierpaolo
authors.initials: P
authors.lastname: Di Lascio
authors.forename: Mauro
authors.initials: M
authors.lastname: Pastore
authors.forename: Pio Rocco
authors.initials: PR
authors.lastname: Tramutoli
mesh_terms: D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged