title: Single-Incision Laparoscopic Cholecystectomy: our experience and review of literature.
abstract: OBJECTIVE
  After the revolution in the surgery of gallbladder stones represented by the laparoscopic cholecystectomy, we tried a new technique that further maximize the aesthetic results and that at the same time is of easy learning for young surgeons.
  
  
  METHODS
  From January 2011 to December 2012 we performed at our department 320 cholecystectomy: 27 in laparotomy and 293 in laparoscopy. Of these, 88 underwent to Single Incision Laparoscopic Surgery (SILS), namely the Single Incision Laparoscopic Cholecystectomy (SILC), in recruited patients aged between 19-65 years; 56 patients were females and 32 were males.
  
  
  RESULTS
  The laparoscopic cholecystectomy with the SILS methodology is a safe technique. Respect to multi-port Laparoscopic Cholecystectomy (LC), we have cosmetic advances. The pain is less in extraumbilical sites, and the major umbilical pain can be prevented by local anaesthesia. The times are slightly longer, especially at the beginning of training, but after a few of operations it is reduced to about one hour. We didn't found any other difference in vantage and advantage between the two technics, only a case of postoperative umbilical hernia in SILS.
  
  
  CONCLUSIONS
  We found the SILS a safe and effective technique for the cholecystectomy.
authors.forename: G
authors.initials: G
authors.lastname: Zanghì
authors.forename: V
authors.initials: V
authors.lastname: Leanza
authors.forename: R
authors.initials: R
authors.lastname: Vecchio
authors.forename: M
authors.initials: M
authors.lastname: Malaguarnera
authors.forename: G
authors.initials: G
authors.lastname: Romano
authors.forename: N M A
authors.initials: NM
authors.lastname: Rinzivillo
authors.forename: V
authors.initials: V
authors.lastname: Catania
authors.forename: F
authors.initials: F
authors.lastname: Basile
mesh_terms: D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult