Our hospital adopted single incision laparoscopic surgery (SILS) for cholecystectomy in February 2011. Since this time, a combination of SILS with a 2-mm diameter forceps in the right flank has been applied to perform the conventional technique normally and to avoid prolongation of the surgical time. Laparoscopic cholecystectomy has been performed in 100 patients since this adaptation and the number of ports used has varied depending on the degree of difficulty. Therefore, a total of 65 cases, including 52 of 53 non-difficult cases and 13 of 47 difficult cases (patients who had surgery of the upper abdomen and those with poor visualization of the cystic duct on drip infusion cholangiographic-computed tomography) successfully underwent SILS in combination with use of a 2-mm diameter forceps without complications such as bile duct injuries. Except for some difficult cases, the mean surgical time was 35.8 minutes, indicating avoidance of prolongation of surgery. Here, we describe our strategy to perform safe and fast SILS for cholecystectomy and define the indications for this method.
Session: Poster Presentation
Program Number: P492