Nihat Yavuz, MD1, Serkan Teksöz, MD2, Engin Hatipoglu, MD2, Sabri Erguney, MD2, Osman Tortum, MD2, Tuna Yildirim, MD1, Sirri Özkan, MD1. 1Acibadem Kadikoy Hospital,General Surgery Department, 2Istanbul University,Cerrahpasa Medical School,General Surgery Department
Introduction: Thanks to technological advances, laparoscopic surgery continues to evolve . One recent advance in this field is laparoscopy performed through a single incision. In this study we present our experiences concerning cholecystectomy through a single incision.
Materials and Methods: Between November 2009 and September 2016 we performed single incision laparoscopic cholecystectomy in 594 patients.391 of the patients were female, 203 were male.The mean age was 44 years (range:7-79 years). 46 patients presented with acute cholecystitis,others with cholelithiasis. In 14 cases an ERCP had been performed preoperatively. The procedures were realized using a SILS portTM (COVIDIEN®) , flexible and articulated instruments (COVIDIEN®) and 5 mm endoclip as the ligation device (COVIDIEN®) and electrocautery as the energy source
Results: Average operative time was 33 minutes (15-240 minutes).An additional trocar was inserted in 14 cases,because of difficulty at exploration in 10 , for bleeding control in three and because of a choledocal cyst in one other case. An abdominal drain was used in 27 cases,which had been removed the following day. No conversation to laparoscopic or conventional surgery. Postoperative complications occurred in 16 cases:Bile leakage due to accessory bile duct in one case, wound problems(seroma and infection) in 13 cases and hernia in two cases. Nonsteroid antiinflammatory agents had been used for postoperative analgesia. Mean hospital stay was 1.02 day (range:1-3 days).
Conclusion: With its superiority of scarlessness, single port laparoscopic cholecystectomy may be admitted as an alternative method to its multiport counterpart
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79148
Program Number: P105
Presentation Session: Poster (Non CME)
Presentation Type: Poster