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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2010

01-03-2010 | Technique

Single-incision laparoscopic surgery for cholecystectomy: an evolving technique

Authors: Andre Chow, Sanjay Purkayastha, Omer Aziz, Paraskevas Paraskeva

Published in: Surgical Endoscopy | Issue 3/2010

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Abstract

Background

Laparoscopic techniques have allowed surgeons to perform complicated intraabdominal surgery with minimal trauma. Recent innovators have pioneered the use of single-incision laparoscopic surgery (SILS), which has the potential of further reducing the trauma of surgical access. This may lead to reduced postoperative pain and improved patient cosmesis.

Methods

This article reports the authors’ method of performing SILS cholecystectomy, with carefully placed sutures used to puppeteer the gallbladder and thus aid retraction.

Results

The authors have performed SILS cholecystectomy for 23 patients with good results.

Conclusions

Single-incision laparoscopic surgery is a feasible way to perform cholecystectomy. Further work in the form of randomized controlled trials is needed to investigate the advantages of this new technique.
Literature
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Bucher P, Pugin F, Morel P (2008) Single-port access laparoscopic right hemicolectomy. Int J Colorectal Dis 23:1013–1016CrossRefPubMed
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Reavis KM, Hinojosa MW, Smith BR, Nguyen NT (2008) Single laparoscopic-incision transabdominal surgery sleeve gastrectomy. Obes Surg 18:1492–1494CrossRefPubMed
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Kroh M, Rosenblatt S (2009) Single-port laparoscopic cholecystectomy and inguinal hernia repair: first clinical report of a new device. J Laparoendosc Adv Surg Tech 19(2):215–217CrossRef
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Hong TH, Kim HL, Lee YS, Kim JJ, Lee KH, You YK, et al (2009) Transumbilical single-port laparoscopic appendectomy (TUSPLA): scarless intracorporeal appendectomy. J Laparoendosc Adv Surg Tech 19(1):75–78CrossRef
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Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M (2009) Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case. Surg Endosc 23(4):920–921CrossRefPubMed
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Hong TH, You YK, Lee KH (2009) Transumbilical single-port laparoscopic cholecystectomy: scarless cholecystectomy. Surg Endosc 23(6):1393–1397CrossRefPubMed
Metadata
Title
Single-incision laparoscopic surgery for cholecystectomy: an evolving technique
Authors
Andre Chow
Sanjay Purkayastha
Omer Aziz
Paraskevas Paraskeva
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-009-0655-4

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