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Original Article
August 14, 2009

Single-Incision Laparoscopic Cholecystectomy Using a Flexible Endoscope

Author Affiliations

Author Affiliations: Department of Surgery, St Luke[[rsquo]]s-Roosevelt Hospital Center, New York, New York.

Arch Surg. 2009;144(8):734-738. doi:10.1001/archsurg.2009.129
Abstract

Objective  To describe our experience with a single-incision laparoscopic cholecystectomy (SILC) performed using a flexible endoscope as the means of visualization and surgical dissection. The use of flexible endoscopy in intra-abdominal surgery has never been described.

Design  Prospective observational case series.

Patients  Eleven patients with symptomatic cholelithiasis were selected based on age, clinical presentation, body habitus, and history of previous abdominal surgery. Patients with acute or chronic cholecystitis were excluded.

Results  All procedures were completed laparoscopically via the single umbilical incision without the need to convert to an open operation and without introduction of any additional laparoscopic instruments or trocars. The mean operative time was 149.5 minutes (range, 99-240 minutes). The mean length of hospital stay was 0.36 days. There were no associated intraoperative or postoperative complications.

Conclusions  In our experience, SILC performed with a flexible endoscope is feasible and safe. Further studies are needed to determine its advantages in reference to postoperative pain and complication rate in juxtaposition with the current standard laparoscopic cholecystectomy.

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