Single-incision laparoscopic cholecystectomy for porcelain gallbladder: a case report.
Single-incision laparoscopic cholecystectomy (SILC) has been performed in patients with gallbladder stones without inflammation. Porcelain gallbladder is a rare finding of chronic cholecystitis that is characterized by extensive calcification of the gallbladder wall. Herein we describe our experience with SILC for porcelain gallbladder with a successful outcome. A 67-old-year woman was diagnosed with porcelain gallbladder. We performed SILC using a SILS Port and a 5-mm forceps through the umbilical incision. Because a small amount of the omentum around the gallbladder was left to facilitate grasping the fundus, a view of both the cystic artery and the cystic duct was easily obtained. The operative time and the intraoperative blood loss were 66 min and less than 1 mL, respectively. The patient was discharged 3 days after surgery and was satisfied with the cosmetic results. Our procedure may represent an alternative to conventional laparoscopic cholecystectomy in patients with porcelain gallbladder.
Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. igami@med.nagoya-u.ac.jp
Tsuyoshi
T
Igami
Hiroaki
H
Usui
Tomoki
T
Ebata
Yukihiro
Y
Yokoyama
Gen
G
Sugawara
Yu
Y
Takahashi
Masato
M
Nagino
D000368:Aged; D002114:Calcinosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans