title: Results of the first 100 single port laparoscopic cholecystectomies in a secondary care hospital.
abstract: BACKGROUND
  Despite the excellent results obtained with standard laparoscopic cholecystectomy, the efforts for minimizing the ports needed to reduce postoperative pain, for a quicker recovery and to improve the patient's cosmetics continue. The aim of this study is to report the results of the first 100 cases of single port laparoscopic cholecystectomy performed in a secondary care hospital.
  
  
  METHODS
  Prospective, observational and unicentric study including 100 patients between January 2010 and April 2012.
  
  
  METHODS
  symptomatic cholelythiasis patients over 16-years of age on whom a single port laparoscopic cholecystectomy was performed.
  
  
  METHODS
  history of acute cholecystitis, pancreatitis or suspected choledocholithiasis, Endoscopic retrograde cholangiopancreatography, BMI>35 and previous laparotomies. We studied epidemiological, surgical and safety variables.
  
  
  RESULTS
  The mean patient age was 39,89 ± 11,5 years. The mean time of the surgical procedure was 67,94 ± 25,5 min. There were 2 cases of postoperative complications. A non-infected seroma and a biliar leak. In 2 cases the use of an accessory trocar was needed. The mean hospital stay was 1,13 ± 0,8 days. A total of 35% patients were included in the major ambulatory surgery programme.The overall patient satisfaction survey rating showed a high level of cosmetic satisfaction in 100% of patients.
  
  
  CONCLUSIONS
  Single port laparoscopic cholecystectomy is a good technique when performed in selected cases by expert surgeons. It is feasible to include the single port laparoscopic cholecystectomy in a major ambulatory surgery programme. We have not had serious complications. There is a high cosmetic satisfaction index with this technique.
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España. Electronic address: Helena.subirana@gmail.com.
authors.forename: Helena
authors.initials: H
authors.lastname: Subirana Magdaleno
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Rosa
authors.initials: R
authors.lastname: Jorba Martín
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Joan
authors.initials: J
authors.lastname: Barri Trunas
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Robres Puig
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Rey Cabaneiro
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Anna
authors.initials: A
authors.lastname: Pallisera Lloveras
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Buqueras Bujosa
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: M Ángeles
authors.initials: MÁ
authors.lastname: Vasco Rodríguez
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Sergio
authors.initials: S
authors.lastname: López Rodríguez
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: María Clara
authors.initials: MC
authors.lastname: López Sanclemente
authors.affiliation: Servei de Cirurgia General i de l'Aparell Digestiu, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Pedro
authors.initials: P
authors.lastname: Barrios Sánchez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D063728:Secondary Care Centers; D055815:Young Adult
keywords: Acceso transumbilical; Cirugía mayor ambulatoria; Colecistectomía por puerto único; Incisión umbilical única; Major ambulatory surgery; Single incision; Single port laparoscopic cholecystectomy; Transumbilical approach