scholarly journals Single Incision Laparoscopic Cholecystectomy: Evaluated Usefulness on Therapeutic Outcome, Postoperative Pain, and Cost

2013 ◽  
Vol 38 (1) ◽  
pp. 9-15
Author(s):  
Nobuhiro Tsutsui ◽  
Takeyuki Misawa ◽  
Ryusuke Ito ◽  
Fumitake Suzuki ◽  
Takeshi Gocho ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Pain ◽  
Single Incision ◽  
Therapeutic Outcome ◽  
Single Incision Laparoscopic Cholecystectomy

scholarly journals Single-incision laparoscopic cholecystectomy using conventional instruments in situs inversus totalis

2018 ◽  
Vol 11 (1) ◽  
pp. e226404 ◽  
Author(s):  
Rajinder Singh Jhobta ◽  
Archit Gupta ◽  
Balwant Negi ◽  
Kapil Negi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Pain ◽  
Young Woman ◽  
Situs Inversus ◽  
Single Incision ◽  
Genetic Disorder ◽  
Situs Inversus Totalis ◽  
Conventional Laparoscopic Cholecystectomy ◽  
Conventional Laparoscopic ◽  
Single Incision Laparoscopic Cholecystectomy

Situs inversus totalis is a rare genetic disorder. Single-incision laparoscopic cholecystectomy (SILC) in situs inversus totalis has been reported rarely. SILC has an advantage of being easier than conventional laparoscopic cholecystectomy in addition to better cosmesis and reduced postoperative pain. We report a case of single-incision laparoscopic cholecystectomy done in a young woman with situs inversus totalis using conventional laparoscopic instruments.

scholarly journals A comparative study of single incision laparoscopic cholecystectomy with conventional laparoscopic instruments versus multiple port laparoscopic cholecystectomy

2018 ◽  
Vol 5 (11) ◽  
pp. 3562
Author(s):  
Nagaraj S. Malladad ◽  
Ashwin Kulkarni
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Pain ◽  
Gall Bladder ◽  
Hospital Stay ◽  
Single Incision ◽  
Single Port ◽  
Postoperative Hospital Stay ◽  
Conversion Rates ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Time Required

Background: Treatment of gall stones have evolved markedly since open cholecystectomy was first described by Lange Buch in 1881. Management has progressed through eras of nonsurgical management, laparotomy, minilaparotomy and now laparoscopic cholecystectomy which is the gold standard for the treatment of gall stone disease today. Laparoscopic surgery is the procedure of choice for most benign gall bladder diseases unless obvious contraindication exists. There has been a trend toward minimizing the required number and size of ports to reduce postoperative pain with better cosmetic results.Methods: Comparative randomized study was conducted in Department of Surgery, SDM College of Medical Sciences and Hospital between February 2017 to July 2018. 60 patients who fit into the inclusion criteria were included in the study. 30 patients were included in the multiport cholecystectomy and 30 in the SILC. Random allocation of patients presenting with symptoms suggestive of gall bladder disease with confirmatory USG study. Group1: single incision laparoscopic cholecystectomy, Group2: multiple port laparoscopic cholecystectomy.Results: Majority of presenting patients were in age group 41-50 years. No significant difference in the mean age of patients, surgical complication, conversion rates and SSI operated by the two techniques. Median time required to complete cholecystectomy by SILC technique was not significantly higher than that required for multiport cholecystectomy. Statistically significant lower postoperative pain score was seen in patients with SILC compared to Multiport laparoscopic cholecystectomy. Patients operated by SILC technique had a postoperative hospital stay of mean 4.04 days, almost same as for patients operated by multiport technique.Conclusions: Difference of Conversion rates and time required for SILC is not significantly higher than that required for multiport cholecystectomy. No rise in intra and post-operative complications occurred in the single port surgery. Postoperative pain is significantly lower in patients undergoing SILC Length of postoperative hospital stay and incidence of SSI for single port cholecystectomy is almost as same as for multiport cholecystectomy.

scholarly journals Single Incision Laparoscopic Cholecystectomy by Using a 2 mm Atraumatic Grasper without Trocar

HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Kamil Gulpinar ◽  
Suleyman Ozdemir ◽  
S. Erpulat Ozis ◽  
Turgut Aydin ◽  
Atila Korkmaz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Abdominal Wall ◽  
Single Incision ◽  
Single Port ◽  
Operation Time ◽  
Scar Formation ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Skin Scar

Purpose. We present our experience in single incision laparoscopic cholecystectomy by using a grasper directly without using a trocar in five patients. Methods and Results. The technique involves the use of Karl Storz 27290F grasper in order to perform gallbladder retraction in single port cholecystectomy. The grasper was introduced directly into the skin through abdominal wall without using any trocar and used to mobilize gallbladder whenever needed during surgery without causing any perforation or leakage of the gallbladder. There were no intraoperative and postoperative complications in 5 patients with the advantages of shorter operation time and almost invisible postoperative skin scar formation. Conclusion. We claim that the use of this instrument in SILS surgery might be advantageous than the conventional placement of sutures for the gallbladder mobilization.

scholarly journals Single-incision robotic cholecystectomy versus single-incision laparoscopic cholecystectomy

Medicine ◽  
2018 ◽  
Vol 97 (36) ◽  
pp. e12103 ◽  
Author(s):  
Ning Sun ◽  
Jia Lin Zhang ◽  
Cheng Shuo Zhang ◽  
Xiao Hang Li ◽  
Yue Shi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Incision ◽  
Robotic Cholecystectomy ◽  
Single Incision Laparoscopic Cholecystectomy
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