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Single incision laparoscopic cholecystectomy (SILC) for emergency and elective cases: Eight-year experience in more than 250 patients.

Fernando Arias, MD, FACS1, Gabriel Herrera, MD1, Camilo Cetares, MD2, Manuel Arrieta, MD3. 1University Hospital Fundación Santa Fe de Bogota – University of the Andes, Bogotá Colombia, 2University Hospital Fundacion Santa Fe de Bogota, 3University of Sabana, Bogota, Colombia

Introduction: Single incision laparoscopic cholecystectomy has gained increasing attention over conventional technique due to the potential benefits such as less postoperative pain, less length of hospital stay and more patient satisfaction regarding post-operative scar and cosmesis. However, it is a technically challenging procedure with an apparent increased risk of bile duct injury.

Methods: We review medical records from July 2008 to December 2016 of patients who underwent single incision laparoscopic cholecystectomy performed by our group. Our team used SILS port, GelPort, Triport and hybrid port (Alexis + glove) to perform the procedure.  The following data was collected:  patient’s demographics, indications for surgery, single port devised used, operative time, conversions, postoperative complications, length of hospital stay and mortality.  

Results: A total of 273 patients underwent SILC from the registry.  The median age was 44.2 years with a mean BMI of 24.1. The mean surgical time was 72 minutes; we exclude 3 patients that additionally underwent to exploration of the common bile duct. There was no mortality in hospital and no cases of 30-day-mortality. One procedure was converted to multi-port and none to open surgery. A total of 7 postoperative minor complications with no bile duct injuries were reported. The mean length of hospital stay was 14.86 hours. Finally, there were 133 (48.7%) emergent and 140 (51.3%) elective cases.

Conclusions: SILC is a safe and a feasible alternative to standard laparoscopic cholecystectomy even in emergency cases. Our series show similar outcomes and complication rates compared to cases reported in literature about standard multiport cholecystectomy. Finally, experience of the group is important to obtain appropriate results. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 95471

Program Number: P209

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

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