World Journal of Laparoscopic Surgery

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VOLUME 6 , ISSUE 1 ( January-April, 2013 ) > List of Articles

RESEARCH ARTICLE

Efficacy and Safety of Single Port Laparoscopic Cholecystectomy: A Single Institute Experience

Kadhim Abdullah, Shah Jalal Sarker, Hitendra Patel, Bijindra Patel

Citation Information : Abdullah K, Sarker SJ, Patel H, Patel B. Efficacy and Safety of Single Port Laparoscopic Cholecystectomy: A Single Institute Experience. World J Lap Surg 2013; 6 (1):6-10.

DOI: 10.5005/jp-journals-10033-1172

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Over the past 5 years, minimal access surgery has been moved toward a new less invasive single port access surgery. Like any new technique, there is a need to ensure that basic tenets of safety and efficacy are maintained. In this study, we demonstrate the efficacy and safety of single port laparoscopic surgery for cholecystectomy in 22 consecutive cases in single institution.

Materials and methods

It is a case series of 22 patients (20 females/2 males) who underwent single port laparoscopic cholecystectomy (SPLC) a single laparoscopic surgeon at Barts and the Royal London NHS Trust performed all surgeries using straight conventional instruments from July 2009 to May 2011.

Results

In our series, the operations were performed by SPLC successful in 21 patients. In one case an extra-port was added due to inadequate exposure. The mean age was 37.27 years (24-70). The mean BMI was 25.25 kg/m2 (21.1-35). The mean operative time was 69.21 minutes (30-90). Gallbladder perforations were recorded in three cases. Minor bleeding was found in one case. The mean hospital stay was <24 (10.05) hours. Visual analog scale was used to record pain severity and the mean was less than one. All patients had uneventful recovery.

Conclusion

The results from current series show SPLC to be a promising technique. We established in this series that SPLC is a safe, efficacious and feasible technique, but it took longer to perform than standard surgery. It can be performed using straight instruments. However, routine application of this novel technique requires evaluation of its safety and effectiveness in large randomized studies.

Abbreviation

SILS: Single incision laparoscopic surgery; SIMPLS: Single incision multiport laparoscopic surgery; OPUS: One port umbilical surgery; TUES: Transumbilical endoscopic surgery; SPAS: Single port access surgery, are acronyms of LESS: Laparoendoscopic single site surgery.

How to cite this article

Abdullah K, Sarker SJ, Patel H, Patel B. Efficacy and Safety of Single Port Laparoscopic Cholecystectomy: A Single Institute Experience. World J Lap Surg 2013; 6(1):6-10.


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