One-incision Laparoscopic Cholecystectomy: Excellent Result

Authors

  • Tanade Dusitsoonthornkul
  • Panitee Rueang Prawat Kun
  • Phatcharee Chamnian
  • Chantha Cha Anukun Kit

Abstract

Background & Aims:

Laparoscopic cholecystectomy (LC) is the “gold standard” in the treatment of benign gall bladder diseases which gained widespread acceptance among surgeons. Various refinements of the technique have been developed in order to achieve better cosmetic effects and more rapid recovery. The aims of this study performing one-incision laparoscopic cholecystectomy (OILC) were to avoid any surgical injuries in upper abdomen, to get the lowest abdominal injury having only one small wound under the umbilicus which leads to difficult wound observation and better cosmetic results, and to evaluate the feasibility, characteristics, duration, complication and length of hospital stay in the patients.

Methods:

33 patients indicated for elective LC were recruited to perform OILC. A u-shaped incision was made under the umbilicus resulting in one hidden scar.

                Results:

OILC was performed in 33 patients, 10 males and 23 females. All 33 operations were successful, with no conversion to standard laparoscopic or open cholecystectomy. The mean operative time was 62.1 min. There were no serious intraoperative or postoperative complications. All patients reported excellent postoperative cosmetic results.

Conclusions:

In these small case series, OILC could be done safely, with no observable prolonged surgical time, no adverse complication and getting excellent cosmetic results. However, larger case series are required to ascertain the safety of this technique.

Key words: Laparoscopy; cholecystectomy; one -incision, one wound, one-incision laparoscopic cholecystectomy.

Published

2020-05-29