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Surgery Today
Published in: Surgery Today 3/2015

01-03-2015 | Original Article

Single-incision laparoscopic cholecystectomy for cholecystitis requiring percutaneous transhepatic gallbladder drainage

Authors: Tsuyoshi Igami, Taro Aoba, Tomoki Ebata, Yukihiro Yokoyama, Gen Sugawara, Masato Nagino

Published in: Surgery Today | Issue 3/2015

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Abstract

Purpose

Single-incision laparoscopic cholecystectomy (SILC) has been performed for patients with gallbladder stones but without acute cholecystitis. We report our experience of performing SILC for patients with cholecystitis requiring percutaneous transhepatic gallbladder drainage (PTGBD).

Methods

We performed SILC via an SILS-Port with additional 5-mm forceps through an umbilical incision in ten patients with cholecystitis requiring PTGBD.

Results

All procedures were completed successfully. The mean operative time was 124 min (range 78–169 min) and there were no intraoperative or postoperative complications. The mean postoperative hospital stay was 2.7 days. All patients were satisfied with the cosmetic results.

Conclusions

Our procedure may represent an alternative to conventional laparoscopic cholecystectomy (CLC) for patients who fervently demand the cosmetic advantages, despite cholecystitis requiring PTGBD. SILC should be performed carefully to avoid bile duct injury because the only advantage of SILC over CLC is cosmetic.
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Metadata
Title
Single-incision laparoscopic cholecystectomy for cholecystitis requiring percutaneous transhepatic gallbladder drainage
Authors
Tsuyoshi Igami
Taro Aoba
Tomoki Ebata
Yukihiro Yokoyama
Gen Sugawara
Masato Nagino
Publication date
01-03-2015
Publisher
Springer Japan
Published in
Surgery Today / Issue 3/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-014-1003-4

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