Technical Progress in Single-Incision Laparoscopic Cholecystectomy in Our Initial Experience

• Main Authors: Tomohiko Adachi, Tatsuya Okamoto, Shinichiro Ono, Takashi Kanematsu, Tamotsu Kuroki
• Format: Article
• Language: English
• Published: Hindawi Limited 2011-01-01
• Series: Minimally Invasive Surgery
• Online Access: http://dx.doi.org/10.1155/2011/972647

Single-incision laparoscopic cholecystectomy (SILC) has rapidly spread throughout the world because of its low invasiveness and because it is a scarless procedure. Various surgical methods of performing SILC are present in each institute; however, it is necessary to develop a standardized procedure that we can perform safely, such as the conventional 4-port laparoscopic cholecystectomy (LC). The SILC experiment in our institute was started by use of the commercial SILS Port and changed from a 3-port method via an umbilicus to a 2-port method to improve some problems. Although none of the conversions to conventional 4-port LC and also none of the complications such as bile duct injury occurred in each method, the 2-port method functioned best and was also economical. However, it is most important to adopt strict criteria and select the patients suitable for SILC to demonstrate SILC safety same as 4-port LC.