title: Benefits and drawbacks of SILS cholecystectomy: a report of 60 SILS cholecystectomies with conventional instrumentation from an academic center.
abstract: BACKGROUND
  Single-incision laparoscopic surgery is a rapidly emerging approach to gallbladder disease.
  
  
  METHODS
  From February 2009 to September 2010, 60 patients were subjected to single-incision laparoscopic cholecystectomy. In all the patients, a 12-mm incision was made in the umbilicus and a 2-trocar technique was applied. Gallbladder was suspended with 2 sutures and the procedure was accomplished with standard partly reusable laparoscopic instruments.
  
  
  RESULTS
  In all, 41 women (68.3%) and 19 men (31.7%) were enrolled in this study. Mean age was 50.7 years (range = 17-72 years), mean body mass index was 26.2 kg/m(2) (range = 18.3-37.7 kg/m(2)) and mean operative time was 52.6 minutes (range = 30-120 minutes). No mortality or morbidity was recorded and hospital stay was less than 24 hours. At follow-up visits, no complications were recorded and cosmesis was excellent.
  
  
  CONCLUSIONS
  Single-incision laparoscopic cholecystectomy can be safely performed with conventional instrumentation with minimal cost.
authors.affiliation: Department of Surgery, School of Medicine, University Hospital of Patras, Patras, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kehagias
authors.forename: Stavros N
authors.initials: SN
authors.lastname: Karamanakos
authors.forename: George A
authors.initials: GA
authors.lastname: Markopoulos
authors.forename: Fotis
authors.initials: F
authors.lastname: Kalfarentzos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000191:economics / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D002921:Cicatrix / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology; D011446:Prospective Studies