• 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 / Use of Harmonic Scalpel in Single Site Laparoscopic Cholecystectomy: a Safe Alternative. Experience in 100 consecutive cases.

Use of Harmonic Scalpel in Single Site Laparoscopic Cholecystectomy: a Safe Alternative. Experience in 100 consecutive cases.

M Bassante, MD, D McDonald, MD, M Kadowaki, MD. East Tennessee State University.

Background
Single site cholecystectomy is a surgical technique that is rapidly becoming an accepted alternative for laparoscopic cholecystectomy. The technique used in this procedure may vary as technology and instruments continue to improve.
In this study In this study we review our experience with this technique in the setting of 100 consecutive patients to assess the safety of a harmonic scalpel as the main dissecting instrument during the procedure.

Methods
This is a review of 100 consecutive single site cholecystectomies performed by a single surgeon at a single institution using a laparoscopic harmonic scalpel as the main dissecting instrument. . Several parameters were analyzed including: age, sex, pre-operative diagnosis, ASA score, Body Mass Index (BMI), operating time, conversion to open cholecystectomy and post-operative complications.

Results
Demographics showed a group of patients in which 60% were females, average age was 50.6±16.8 years. The average BMI was 31.4±8.67. The average ASA calss was 2.3±0.65.
The operating time averaged 58.33±25.46 minutes.
As far as preoperative diagnosis, 9% had a diagnosis of acute calculous cholecystitis, 24% had a diagnosis of biliary dyskenesia, 43% had a diagnosis of chronic Cholecystitis, 24% had a diagnosis of symptomatic cholelithiasis.
There were a total of four complications; 1 patient had a urinary tract infection and prolonged ileus, 1 patient had a bile leak from the cystic stump, 1 patient had an enterotomy during trochar placement and 1 patient was readmitted for respiratory distress and pleural effusions. The patient with an enterotomy was the only one who underwent a conversion to open exploratory laparotomy.

Conclusions

None of the complications reported were directly associated to the use of harmonic scalpel to perform a single site cholecystectomy.
The harmonic scalpel is a safe instrument which can also improve efficiency in the operating room.
Further studies are needed to evaluate the cost-effectiveness of the harmonic scalpel in single site laparoscopic cholecystectomy.
 

View Poster

124

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