Page 27 - World Journal of Laparoscopic Surgery

WJOLS
WJOL
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10.5005/jp-journals-10033-1276
Single-incision Laparoscopic Cholecystectomy vs Conventional Laparoscopic Cholecystectomy
RevieW ARticLe

Single-incision Laparoscopic Cholecystectomy vs

Conventional Laparoscopic Cholecystectomy

BV Sharath

ABSTRACT hospital stay and least postoperative pain. The following
Laparoscopic cholecystectomy is the gold standard procedure parameters were taken into consideration for evaluation.
for gallbladder disease. Single-incision laparoscopic cholecys- • Mean age of patient
tectomy (SILC) has emerged as an alternative to conventional • Length of stay in hospital
four-port cholecystectomy as SILC has a better cosmetic ap- • Operative time
pearance with faster recovery and early discharge. This review
article was done to analyze SILC its advantages and disadvan- • Cost of procedure
tages in the treatment of gallbladder disease. • Postoperative pain
Keywords: Conventional laparoscopic cholecystectomy, • Complications.
Four-port laparoscopic cholecystectomy, Single-incision
laparoscopic cholecystectomy. MATERIALS AND METHODS
How to cite this article: Sharath BV. Single-incision The articles reviewed in this study were taken using
Laparoscopic Cholecystectomy vs Conventional Laparoscopic
Cholecystectomy. World J Lap Surg 2016;9(2):75-77. Google search engine, SAGES website, PubMed,
Cochrane, HighWire Press, Medscape. The search
Source of support: Nil
phrases used were SILS, SILC, four-port laparoscopic
Conflict of interest: None
cholecystectomy.
INTRODUCTION
OPERATIVE TECHNIQUE
Laparoscopic cholecystectomy has been the gold In a SILC, two working ports and one optical port were
standard surgery for gallbladder disease in the last two introduced through a single incision. The incision can
decades. But improvization and innovation in minimal be either infraumbilical, at the inferior crease of the
access surgery has led to the evolution of three-port umbilicus, transumbilical, or Omega shaped incision.
cholecystectomy, two-port cholecystectomy, and recently, One extracorporeal stay suture is used to achieve the
the world is mesmerized with the advent of single- standard anterolateral retraction of the gallbladder
incision laparoscopic surgery. fundus. Lateral retraction of the infundibulum is
The single-incision laparoscopic cholecystectomy, accomplished with a roticulating instrument, allowing
henceforth referred to as Single-incision laparoscopic optimal exposure of the gallbladder hilum.
cholecys tectomy (SILC), was first performed in 1997 by A 2-cm incision is needed to access the abdominal
1
Navarra. Since then SILC has started gaining popularity cavity. SILS™ port (Fig. 1) is introduced and carbon
among the population. The SILC has resulted in less pain dioxide is insufflated into the abdomen to a pressure of
and lesser requirement of narcotics, quick return to work, 15 mm Hg. Optical port of 10 mm is introduced into the
and also shorter hospital stays.

AIMS

This review article aims to evaluate which surgical
procedure was associated with less operative time and

Associate Professor
Department of General Surgery, Basaveshwara Medical College
Hospital and Research Centre, Chitradurga, Karnataka, India
Corresponding Author: BV Sharath, Associate Professor
Department of General Surgery, Basaveshwara Medical
College Hospital and Research Centre, Chitradurga, Karnataka
India, Phone: +919880599807, e-mail: bandlursharat@gmail.
com
Fig. 1: Single-incision laparoscopic cholecys tectomy™ port
World Journal of Laparoscopic Surgery, May-August 2016;9(2):75-77 75