• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Single Incision Laparoscopic Cholecystectomy (silc): Initial Experience with Critical View Technique and Routine Intraoperative Cholangiography

Single Incision Laparoscopic Cholecystectomy (silc): Initial Experience with Critical View Technique and Routine Intraoperative Cholangiography

Introduction: Single Incision Laparoscopic Cholecystectomy (SILC) is emerging as a potentially less invasive alternative to both standard laparoscopic cholecystectomy (LC) and NOTES cholecystectomy. However, as this technique becomes more widely employed, it is important to maintain the ability to perform the critical view (CV) dissection and intraoperative cholangiography (IOC). We present our initial experience with SILC using the CV dissection and routine IOC.

Methods: Fourteen patients with biliary colic were offered SILC. Exclusions were acute cholecystitis, morbid obesity, and prior upper midline abdominal surgery. The SILC approach was performed via the umbilicus and critical view dissection (with photo documentation) was attained prior to clipping or transection of any ductal structures. IOC was done using various needle puncture techniques. Assessment of CV was carried out retrospectively by independent surgeon (SMS) review of operative still photos in 15 of 16 cases using a three point grading scale under IRB approval. One point was given for each of the following: visualization of only two ductal structures entering the gallbladder, a clear hepatocystic triangle, and separation of the base of gallbladder from the liver.

Results: SILC was performed in 16 patients (6M, 10F). Average BMI was 28±4.6. Mean OR time was 125 ±31.4min. Fourteen of 16 cases were performed as single incision and two cases required one supplementary 3 or 5mm subcostal port. Complete IOC was successful in 14/16 cases (87.5%). One attempted IOC was unsuccessful and a 2nd IOC showed incomplete filling of the proximal ductal system due to contrast extravasation at the cystic duct. Critical view was achieved at the time of operation in all 16 cases. Photo documentation review confirmed CV by all 3 criteria in 10 cases, 2 of 3 in 2 cases, and 1 of 3 in two. In only one case was photo documentation inadequate to verify any of the three CV criteria.

Conclusions: As laparoscopic cholecystectomy becomes less invasive, proven safe dissection techniques must be maintained. Dissection to obtain the critical view should be the goal of every single incision case and routine IOC can be done in a high percentage of cases. These measures should help ensure that patient safety considerations are foremost in the evolution of minimally invasive approaches to cholecystectomy.


Session: Poster

Program Number: P516

View Poster

207

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals