Transumbilical Single-Incision Laparoscopic Choledocholithtomy Using Conventional Instruments: the First Fifteen Cases

Shuodong Wu, Tian Yu, Chunchih Chen, Yongsheng Chen

Department of the Second General Surgery, Sheng Jing Hospital of China Medical University, Shenyang City, Liaoning Province, People’s Republic of China

Background/aim: Optimization of quality of life (QOL) is an important goal in the advanced surgery. Herein we share our fifteen cases to demonstrate the feasibility of scarless transumbilical single-incision laparoscopic choledocholithtomy using conventional instruments in the management of common bile duct stones.

Patients and Methods: Fifteen patients (4 male) underwent transumbilical single-incision laparoscopic choledocholithtomies: the patients were diagnosed with common bile duct stones. The ENBD, ERBD or J-type tube was introduced into the common bile duct preoperatively or intraoperatively. A 2-cm periumbilical incision was made for the placement of three trocars. Conventional rigid laparoscopic instruments were solely used throughout the procedure, and operative techniques were carried out in the same fashion as for conventional T-tube-free laparoscopic choledocholithtomy.

Results: The procedures were completed uneventfully in the mean duration of 125.7 minutes. Postoperative pain scores on postoperative day 1 were 1.8/10. Three patients occurred J-tube displacement and all three were later excreted safely in stool.

Conclusions: Transumbilical single-incision laparoscopic choledocholithtomy appears to be a technically feasible alternative to standard laparoscopic procedure, and can be performed using conventional laparoscopic instruments. Laparoscopic primary closure with preoperative ENBD and ERBD tubes and with intraoperative J-tubes is easy and effective.

Session: Poster Presentation

Program Number: P347

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