title: Single-Incision Cholecystectomy in about 200 Patients.
abstract: Background and Aims. We describe our experience of performing transumbilical single-incision laparoendoscopic cholecystectomy as standard procedure for acute and chronic gallbladder diseases. Methods. Between September 2008 and March 2010, 220 patients underwent laparoscopic single-incision surgery. A single port was used for 196 patients and two conventional 5 mm and one 10 mm port in 24 cases. All operations were performed with straight instruments. Results. Single-incision surgery was successfully performed in 215 patients (98%). Three patients (1.4%) required conversion to a three-port technique and two patients (0.9%) to an open procedure. Average age of 142 women (65%) and 78 men (35%) was 47 years (range: 15-89), average ASA status 2 (range: 1-3) and BMI 28 (range: 15-49). Mean operative time was 62 minutes (range: 26-174) and 57 patients (26%) had histopathological signs of acute cholecystitis. Eleven patients (5%) developed to surgery-related complications and nine (4%) of these required a reoperation. The mean followup was 331.5 (range: 11-590) days. Conclusion. Transumbilical single-incision cholecystectomy is a feasible and safe new approach for routine cholecystectomy. After a short learning curve, operation time and complication rate are comparable with standard multiport operation. In addition, most cases of acute cholecystitis can be performed with this technique.
authors.affiliation: Department of Surgery, Vivantes Hospital Am Urban, Dieffenbachstrasse 1, 10967 Berlin, Germany.
authors.forename: Roland
authors.initials: R
authors.lastname: Raakow
authors.forename: Dietmar A
authors.initials: DA
authors.lastname: Jacob
references.citation: J Hepatobiliary Pancreat Surg. 2009;16(5):633-8
references.pmid: 19373428
references.citation: Surg Endosc. 2009 May;23(5):1138-41
references.pmid: 19263120
references.citation: Surg Endosc. 2010 Jun;24(6):1374-9
references.pmid: 20039073
references.citation: Surg Endosc. 2010 Jan;24(1):68-71
references.pmid: 19533242
references.citation: Am Surg. 2009 Aug;75(8):681-5; discussion 685-6
references.pmid: 19725290
references.citation: J Endourol. 2008 Apr;22(4):811-8
references.pmid: 18419222
references.citation: J Gastrointest Surg. 2009 Jan;13(1):159-62
references.pmid: 18972166
references.citation: Surg Endosc. 2010 Jun;24(6):1403-12
references.pmid: 20035355
references.citation: Int Surg. 2007 May-Jun;92(3):142-6
references.pmid: 17972469
references.citation: Hepatogastroenterology. 2007 Jul-Aug;54(77):1326-30
references.pmid: 17708247
references.citation: Surg Endosc. 2008 Feb;22(2):542-7
references.pmid: 18027043
references.citation: J Laparoendosc Adv Surg Tech A. 1999 Aug;9(4):361-4
references.pmid: 10488834
references.citation: Surg Endosc. 2006 Feb;20(2):185
references.pmid: 16402289
references.citation: J Laparoendosc Adv Surg Tech A. 2009 Oct;19(5):599-602
references.pmid: 19694564
references.citation: J Gastrointest Surg. 2010 Mar;14(3):506-10
references.pmid: 19967564
references.citation: J Laparoendosc Adv Surg Tech A. 2009 Aug;19(4):495-9
references.pmid: 19630589
references.citation: J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):345-51
references.pmid: 18503365
references.citation: Surg Endosc. 2009 May;23(5):969-72
references.pmid: 19118419
references.citation: HPB (Oxford). 2003;5(3):152-8
references.pmid: 18332976