title: Original single-incision laparoscopic cholecystectomy for acute inflammation of the gallbladder.
abstract: OBJECTIVE
  To investigate the safety and feasibility of our original single-incision laparoscopic cholecystectomy (SILC) for acute inflamed gallbladder (AIG).
  
  
  METHODS
  One hundred and ten consecutive patients underwent original SILC for gallbladder disease without any selection criteria and 15 and 11 of these were diagnosed with acute cholecystitis and acute gallstone cholangitis, respectively. A retrospective review was performed not only between SILC for AIG and non-AIG, but also between SILC for AIG and traditional laparoscopic cholecystectomy (TLC) for AIG in the same period.
  
  
  RESULTS
  Comparison between SILC for AIG and non-AIG revealed that the operative time was longer in SILC for AIG (97.5 min vs 85.0 min, P = 0.03). The open conversion rate (2/26 vs 2/84, P = 0.24) and complication rate (1/26 vs 3/84, P = 1.00) showed no differences, but a need for additional trocars was more frequent in SILC for AIG (5/24 vs 3/82, P = 0.01). Comparison between SILC for AIG and TLC for AIG revealed no differences based on statistical analysis.
  
  
  CONCLUSIONS
  Our original SILC technique was adequately safe and feasible for the treatment of acute cholecystitis and acute gallstone cholangitis.
authors.affiliation: Department of Digestive Surgery, Hepato Pancreato Biliary Surgery Unit, Toranomon Hospital, 105-8470 Tokyo, Japan. sasakikazunari1978@hotmail.com
authors.forename: Kazunari
authors.initials: K
authors.lastname: Sasaki
authors.forename: Goro
authors.initials: G
authors.lastname: Watanabe
authors.forename: Masamichi
authors.initials: M
authors.lastname: Matsuda
authors.forename: Masaji
authors.initials: M
authors.lastname: Hashimoto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002761:Cholangitis / Q000473:pathology / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D041881:Cholecystitis, Acute / Q000473:pathology / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007249:Inflammation / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult