title: Effectiveness of a surgical glove port with homemade trocars made of syringes for single incision laparoscopic cholecystectomy.
abstract: OBJECTIVE
  Single incision laparoscopic cholecystectomy (SILC) has two serious problems; its feasibility and cost. We report our experience and benefits of our original SILC procedure using homemade trocars that can solve those problems.
  
  
  METHODS
  SILC was attempted for thirty-four patients at our hospital. The SILST" Port (Covidien, Inc) was used in 16 patients (SPgroup) and the original method using a surgical glove port with homemade trocars was performed in 18 patients (GP-HT group). A homemade trocar was made ofa 2.5mL and a 5mL syringe. We performed the retrospective comparison of the operative and postoperative results between those two groups.
  
  
  RESULTS
  Thirty patients (14 in the SP group and 16 in the GP-HT group)successfully underwent SILC. No patient had a grade IIor more severe postoperative complication based on the Clavien-Dindo classification. Our original home made trocar was slim and compact enough to avoid clashes among surgical instruments and surgeon's hands. Operative time in the GP-HT group was significantly short-er than that in the SP group (p=0.0044).
  
  
  CONCLUSIONS
  Although further prospective studies of larger series should be performed, this simple and cost-effective system can be one of the promising ways for SILC.
authors.affiliation: Department of Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan. tsujie@nara.med.kindai.ac.jp
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsujie
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ikenaga
authors.forename: Atsushi
authors.initials: A
authors.lastname: Miyamoto
authors.forename: Shoji
authors.initials: S
authors.lastname: Nakamori
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Yasui
authors.forename: Hideyasa
authors.initials: H
authors.lastname: Omiya
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hirao
authors.forename: Koji
authors.initials: K
authors.lastname: Takami
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Fujitan
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mishima
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Tsujinaka
mesh_terms: D016009:Chi-Square Distribution; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000295:instrumentation*; D004867:Equipment Design; D005932:Gloves, Surgical; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D013594:Syringes; D013997:Time Factors; D016896:Treatment Outcome