Single Incision Laparoscopic Cholecystectomy (SILS)

Objective: Single incision laparoscopic surgery is a rapidly emerging technique worldwide. The primary goal of the surgery is invisible scar. The objective of this study was to share our initial experience with the rest of world.

Methodology: From October 2009 to April 2010, single port surgery was offered to 30 patients of symptomatic gallstones. The data collected prospectively included age, sex, operative time, complications, pain and reason for conversion.

Results: Thirty SILS cholecystectomies were attempted and 27 were completed successfully. The mean operative time was 80 minutes (ranges 50-180min).Three patients needed further ports to complete the operation. All patients were discharged on 2nd postoperative day except one who had severe abdominal pain. This patient was discharged on 6th postoperative day. Two patients had mild umbilical wound infection, one patient was readmitted for pain management.

Conclusion: SILS cholecystectomy is a safe, feasible and without visible scar surgery in the hands of trained laparoscopic surgeons but needs more studies before it is recommended.