Experience of 1 126 cases with routinely single incision laparoscopic cholecystectomy

Abstract

Objective To estimate the safety, feasibility and generalization of three point single-incision laparoscopic cholecystectomy (SILC). Methods The clinical data of 1 126 patients who underwent three-point SILC at the second department of Hepatobiliary Surgery of Zhu Jiang Hospital, Southern Medical University From January 1, 2011 to December 30, 2015 was analyzed retrospectively. The patient who were indicated for conventional laparoscopic cholecystectomy were included, but those suspected malignant diseases of gallbladder were excluded. Results Of the 1126 patients, the surgery was performed successfully in 923 patients, and 192 patients need extra ports due to the adhesion and difficulty of exposing the Calots triangle, and 11 were converted to open surgery due to severe adhesion, with the success rate being 81.9%.The operating time was (29.5±12.2) min (from the entrance of laparoscope to the removing of gallbladder), the blood loss was (8.7±7) ml, and the hospital stay time was (1.4±0.7) d (after surgery). There were three cases of bile duct injury: two of them were bile leak of aberrant duct, one of them was bile leak of cystic duct damaged by heat. And there was one case of injury of duodenum, 22 cases of umbilicus hematoma, 13 cases of hematoma of thorax, and 2 cases of thoracic hemorrhage who required surgery. There were no hernia, aerothorax and so on. Conclusion Three point SILC is a technology that is safe, maneuverable and suitable for being carried out in clinical practice. Key words: Single-incision laparoscopic cholecystectomy (SILC); Cholecystectomy; Laparoscopy; Single incision