Single-incision laparoscopic cholecystectomy (SILC): a refined technique

Single-incision laparoscopic cholecystectomy with routine intraoperative cholangiography and common bile duct exploration via the umbilical port

“…This differs from the experience of Hawasli et al [29], who had to insert additional ports in the three patients with choledocholithiasis. Although the use of additional ports is not a significant imposition to the patient in terms of morbidity, it does undermine the original intention for performing the SILS procedure.…”

“…Few studies to date have performed routine IOC in conjunction with SILC procedures, and those few also have required additional skin insertion sites [2,15,18,20,22,28,29] (Table 3). Previous groups have not performed CBD exploration, whether transcystically or via choledochotomy, during the same procedure.…”

“…Few reports have included experience with routine IOC as part of single-incision laparoscopic cholecystectomy (SILC) [2,15,18,20,22,28,29], and no groups have performed IOC during SILC without additional skin incisions. Although additional ports can facilitate IOC, they arguably undermine the intention of SILS.…”

Single-incision laparoscopic cholecystectomy: a cost comparison

“…It is feasible and safe to perform the single-incision techniques for most types of procedures without specialized equipment, especially cholecystectomy [2,15,[21][22][23]. We have found it unnecessary to use specialized items in the majority of our single-incision cholecystectomies, ventral hernia repairs, and appendectomies.…”

Prospective randomized comparison of single-incision laparoscopic cholecystectomy with new facilitating maneuver vs. conventional four-port laparoscopic cholecystectomy

“…In most of these techniques, specific instruments were used such as 5-mm long and/or articulated scopes and articulated laparoscopic instruments. In addition, numerous gallbladder retraction techniques were described; such as fundal traction technique, gallbladder-abdominal wall suture technique, fundus and infundibulum suture and Veress needle retraction technique (7,8,17). In our opinion, the key factor to perform a safe and easy SILC is to use an easy, two-side controllable, and reproducible single maneuver for retraction of the fundus and infundibulum.…”