[Single port laparoscopic cholecystectomy in major ambulatory surgery (MAS)].
BACKGROUND
Natural orifice endoscopic surgery is a new surgical procedure still in the development phase. The most natural entry for surgeons is to use an already existing scar, such as the navel. The recent introduction of trocars designed for this purpose has made it possible to put this into practice.


METHODS
We present our preliminary experience in single trans-umbilical incision laparoscopic cholecystectomy, by means of a prospective study which included 26 patients operated on between January 2009 and January 2010. We also attempt to find out whether it can be performed in a MAS programme.


RESULTS
All patients had uncomplicated cholelithiasis, although in 5 of them cholecystitis was identified during the surgery. The mean surgical time was 51.2 min. The mean hospital stay was 25.7h, and 76.92% of patients were admitted for less than 24h. There were no re-admissions or significant intra-operative or post-operative complications.


CONCLUSIONS
On looking at our results, single port laparoscopic cholecystectomy could be included in a major ambulatory surgery programme.
Martín Fernández
Jesús
J
Servicio de Cirugía General y del Aparato Digestivo, Hospital General de Ciudad Real, Ciudad Real, España. jesusmartinff@wanadoo.es
Jara Sánchez
Alberto
A
Manzanares Campillo
M Carmen
MC
Menéndez Sánchez
Pablo
P
Muñoz Atienza
Virginia
V
Padilla Valverde
David
D
Villarejo Campos
Pedro
P
Angeles Gil-Olarte
M
M
Arjona Medina
Irene
I
Martínez De Paz
Fernándo
F
Menchen Trujillo
Bruno
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D055815:Young Adult