English

Abstract

Single-incision laparoscopic surgery (SILS) is a recent advance that has taken the surgical community by storm. Single-incision laparoscopic cholecystectomy (SILC) is perhaps the most common SILS procedure used to treat patients with gallstone disease. There are three approaches to SILC: (a) one that uses special, purpose-made access devices or ports for introducing the laparoscope and instruments which are usually, but not always, roticulating ones; (b) passing three 5-mm trocars side-by-side through the fascia after exposing a wide area via a single umbilical incision; and (c) using two trocars at the umbilicus along with suspension sutures to retract the gallbladder. This article provides a detailed, step-by-step description of a technique of SILC using standard laparoscopic instruments. AIM: To evaluate the feasibility, advantages and shortcomings of Single Incision Laparoscopic Cholecystectomy using standard laproscopic instruments. METHOD: We attempted SILC in 50 patients between August 2011 and May 2012 and completed it successfully in 45 (unpublished data). The procedures were performed for elective indications (N=50). CONCLUSION: We have presented a technique of SILC using standard laparoscopic instruments that emulates all the steps of a safe multi-port cholecystectomy. We found that the technique has a relatively short learning curve and is reproducible. Preliminary studies show that SILC carries certain benefits over MLC. However, SILC should be considered a technique under evolution and further larger studies are required before it can be accepted as a replacement to Multi port Laparoscopic Cholecystectomy.