Abstract
The technique of laparoscopic cholecystectomy continues to evolve with a trend towards decreasing use of working ports. One of the emerging concepts of 21st century is single-port surgery. It has further minimized the minimally invasive surgery. However, the main drawbacks of this technique are the lack of “triangulation” to which the laparoscopic surgeons have grown accustomed to, the clustering of instruments, and the costly multichannel ports, which are very costly and, in fact, are not affordable by the majority of the population in a developing country like India. From September 2009 to December 2011, 210 patients identified as having biliary colic, chronic cholecystitis, and previous biliary pancreatitis or obstructive jaundice due to stones (managed by ERCP) underwent single-port laparoscopic cholecystectomy using the E. K. glove port. The operating time was reasonable and can be lessened with experience. Excellent exposure of the critical view was obtained in all cases. This technique is safe, feasible, reproducible, cheap, and easy to learn. It may be an alternative to the currently available single-port access system, especially in a developing country like India. If required, placement of the remaining two to three ports for a more conventional laparoscopic cholecystectomy can be done.
Highlights
In an effort to reduce morbidity and improve the cosmesis of laparoscopic surgery, surgeons have tried to reduce the size and number of ports
We report our experience with 210 patients who underwent Single-port laparoscopic cholecystectomy (SPLC) and a detailed description of the technique with special reference to the E
Single-port cholecystectomy was successfully completed in 210 patients using this technique from September 2009 to December 2011
Summary
In an effort to reduce morbidity and improve the cosmesis of laparoscopic surgery, surgeons have tried to reduce the size and number of ports. Single-port surgery has recently emerged, where the surgery is done through a single-port, typically the patient’s navel. This improves the cosmesis, lessens post-operative pain, and ensures virtually a “scarless” surgery. Single-port laparoscopic cholecystectomy (SPLC) is perhaps the most common single-port surgery procedure used to treat patients with gall stone diseases. K. glove port [1], our evaluation of retrospective examination of prospectively collected data of patients operated by a single surgeon, main author The aim of this paper is to encourage laparoscopic surgeons, especially in developing countries, to adopt our technique of SPLC using the cost-effective E.
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