Adoption of a Single-incision Laparoscopic Cholecystectomy

Hisashi Ikoma, PhD, Yukihito Kokuba, PhD, Yusuke Yamamoto, PhD, Ryou Morimura, PhD, Yastutoshi Murayama, PhD, Syuuhei Komatsu, PhD, Atsushi Shiozaki, PhD, Yoshiaki Kuriu, PhD, Masayoshi Nakanishi, PhD, Daisuke Ichikawa, PhD, Hitoshi Fujiwara, PhD, Kazuma Okamoto, PhD, Toshiya Ochiai, PhD, Eigo Otsuji, PhD. Department of Digestive Surgery,Kyoto Prefectural University of Medicine


Backgroud A single-incision laparoscopic cholecystectomy, which is performed by making an incision into the belly button, is expected to lead to reduced pain and scarring and a shortened time required for recovery and it is now becoming more widely used.
Method: Since July 2009, we performed single-incision laparoscopic cholecystectomy for 52 patients with Cholelithiasis patients or cystic adenomyosis patients with no history of fever, jaundice, or colic attacks.
Resuls The cases comprised 52 patients, including 21 male and 31 females, wherein the average surgery time was 103 minutes, the average amount of bleeding was low, and there were no cases involving the addition of ports, cases shifted to laparotomy, or cases involving intraoperative gallbladder perforations and there were no postoperative complications without one SSI .
Conclusions: We safely adopted the surgical technique known as single-incision laparoscopic cholecystectomy. With a single-incision laparoscopic cholecystectomy of the umbilical region, it was possible to secure a field of view comparable with that obtained in a conventional laparoscopic cholecystectomy using four incisional wounds. Moreover, no special forceps or procedures are required and the surgery can be performed safely.

Session Number: Poster – Poster Presentations
Program Number: P381
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