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

Abstract

This study represents the largest series to date of single-incision laparoscopic cholecystectomies with routine IOC via the umbilical port and is the first study to demonstrate that the laparoscopic management of choledocholithiasis during SILC is feasible.

Single umbilical incision laparoscopic cholecystectomy: Results of the prospective trial of the Coelio Club

“…In a meta-analysis of laparoscopic cholecystectomy, Shea et al found a 1.1% surgical site infection rate among 13,724 patients collated in 83 monocenter studies [14]. Similar results are found in other series of LCSUI (Table 3 [ [15][16][17]). …”

Evidence-Based Current Surgical Practice: Calculous Gallbladder Disease

“…Stay sutures can be passed through the abdominal wall and into the gallbladder to assist in retraction and exposure, and the gallbladder is removed via the umbilicus. [120–125] An additional port may be required in patients with gallbladder inflammation, adhesions, or bleeding to ensure adequate visualization and safe dissection. [120, 122]…”

“…[121, 123–125] SILS cholecystectomy is typically not attempted in patients with an umbilical hernia or previous upper abdominal surgery. [121, 125]…”

“…The operating time for SILS cholecystectomy ranges from 35–180 minutes,[121, 123–125] significantly longer than traditional laparoscopic cholecystectomy and shorter than natural orifice transluminal endoscopic (NOTES) cholecystectomy. [121, 123, 124] However, with increasing surgeon experience, operating time for SILS cholecystectomy has been shown to decrease.…”

“…[121, 123, 124] However, with increasing surgeon experience, operating time for SILS cholecystectomy has been shown to decrease. [125] Intraoperative blood loss is similar between SILS and traditional laparoscopic cholecystectomy. [121, 124] Greater than 90% of attempted SILS cholecystectomies can be performed successfully, with the majority of failed attempts being completed with a 4-port laparoscopic cholecystectomy.…”