World Journal of Laparoscopic Surgery

Register      Login

VOLUME 12 , ISSUE 1 ( January-April, 2019 ) > List of Articles

Original Article

Study of Feasibility of Single Incision Laparoscopic Surgery with Conventional Instruments

Pankajkumar J Zanwar, Jitendra T Sankpal, Mukund B Tayade, Ajay H Bhandarwar, Shubham D Gupta, Jasmine R Agarwal

Keywords : Laparoscopy instrument set, Single incision laparoscopic surgery, Visual analog scale

Citation Information : Zanwar PJ, Sankpal JT, Tayade MB, Bhandarwar AH, Gupta SD, Agarwal JR. Study of Feasibility of Single Incision Laparoscopic Surgery with Conventional Instruments. World J Lap Surg 2019; 12 (1):15-18.

DOI: 10.5005/jp-journals-10033-1365

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: To evaluate the feasibility and safety of single incision laparoscopic surgery using conventional laparoscopy instrument set. Materials and methods: Patients admitted in General Surgery Department of Gokuldas Tejpal Hospital, affiliated to Sir Jamshedjee Jeejeebhoy Group of Hospitals, Mumbai, during January 2015 to June 2016 for appendicitis and symptomatic gallstone disease were included in study. Forty cases were enrolled in study and prospective observational study was performed. Results: Total 40 cases included, 21 cases of appendicitis and 19 cases of symptomatic cholelithiasis. Mean age of appendectomy group was 28.71 ± 9.69 years and mean age of cholecystectomy group was 36.71 ± 10.48 years. In our study, mean operative time for single-incision laparoscopic (SIL) appendectomy was 42.04 ± 5.74 minutes. Postoperative fever was noted in three cases (14.25%). Mean postoperative pain as per visual analog scale (VAS) score taken after 24 hours on POD 2 was 2.14. Average postoperative stay in hospital was 2.14 days, and port-site infection occurred in one case (4.17%). Patient satisfaction score obtained on the scale of 1–10 on 1-month follow-up was 7.95, while scar cosmesis score was 7.9. In our study, 19 cases underwent SIL cholecystectomy, of which 7 were male (36.8%) and 12 were female (41.2%), and mean age of patients was 36.71 years. Mean operative time in our study was 75.21 min, mean postoperative pain taken on POD 2 as per VAS score was 2.91, mean postoperative hospital stay was 2.1 days, and port-site infections occurred in 2 cases. Postoperative fever was noted in 2 cases, and postoperative patient satisfaction score obtained at 1-month follow-up was 7.73 and scar score of 7.84 on the scale of 0–10. No case required drain placement and conversion. Conclusion: single-incision laparoscopic surgery (SILS) can be performed using conventional laparoscopic instruments, though it has more operative time, comparable postoperative hospital stay, causes less pain, and has significantly more patient satisfaction regarding postoperative scar and cosmesis. Clinical significance: Since SILS has more patient acceptance and satisfaction, it can be offered to all patients undergoing laparoscopic surgery, irrespective of unavailability of special instruments and financial constraints, as it can be performed using conventional laparoscopic instruments.

  1. Kossi J, Luostarinen M. Initial experience of the feasibility of single-incision laparoscopic appendectomy in different clinical conditions. Diagn Ther Endosc 2010;2010:240260. DOI: 10.1155/2010/240260.
  2. Vidal Ó, Valentini M, Ginestà C, et al. Laparoendoscopic single-site surgery appendectomy. Surg Endosc 2010;24(3):686–691. DOI: 10.1007/s00464-009-0661-6.
  3. Vilallonga R, Barbaros U, Nada A, et al. Single-port transumbilical laparoscopic appendectomy: a preliminary multicentric comparative study in 87 patients with acute appendicitis. Minim Invasive Surg 2012;2012:492409. DOI: 10.1155/2012/492409.
  4. Vidal O, Ginesta C, Valentini M, et al. Suprapubic single-incision laparoscopic appendectomy: a nonvisible-scar surgical option. Surg Endosc 2011;25(4):1019–1023. DOI: 10.1007/s00464-010-1307-4.
  5. Ceci F, Orsini S, Tudisco A, et al. Single-incision laparoscopic appendectomy is comparable to conventional laparoscopic and laparotomic appendectomy: our single center single surgeon experience. G Chir 2013;34(7–8):216–219. DOI: 10.11138/gchir/2013.34.7.216.
  6. Park J, Kwak H, Kim SG, et al. Single-port laparoscopic appendectomy: comparison with conventional laparoscopic appendectomy. J Laparoendosc Adv Surg Tech A 2012;22(2):142–145. DOI: 10.1089/lap.2011.0253.
  7. Culp BL, Cedillo VE, Arnold DT. Single-incision laparoscopic cholecystectomy versus traditional four-port cholecystectomy. Proc (Bayl Univ Med Cent) 2012;25(4):319–323. DOI: 10.1080/08998280.2012.11928866.
  8. Sulu B, Diken T, Altun H, et al. A comparison of single-port laparoscopic cholecystectomy and an alternative technique without a suspension suture. Ulus Cerrahi Derg 2014;30(4):192–196. DOI: 10.5152/UCD.2014.2717.
  9. Karim MA, Ahmed J, Mansour M, et al. Single incision vs. conventional multiport laparoscopic cholecystectomy: a comparison of two approaches. Int J Surg 2012;10(7):368–372. DOI: 10.1016/j.ijsu.2012.05.017.
  10. van der Linden YT, Bosscha K, Prins HA, et al. Single-port laparoscopic cholecystectomy vs standard laparoscopic cholecystectomy: a non-randomized, age-matched single center trial. World J Gastrointest Surg 2015;7(8):145–151. DOI: 10.4240/wjgs.v7.i8.145.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.