Single Incision laparoscopic Cholecystectomy (SILC) Using A Novel Glove Port Technique: Early Unit Experience.
H. Othman1, SM Ikhwan2, A. Azman1, Z. Zuhdi1, A.C. Ariffin3, R. Jarmin1
1University Kebangsaan Malaysia Medical Centre, Surgery, Kuala Lumpur, Malaysia, 2University Sains Malaysia ,Kota Bharu, Malaysia and 3University Sains Islam Malaysia, Kuala Lumpur, Malaysia
Background: Single Incision Laparoscopic Cholecystectomy (SILC) was first introduced about 2 decades ago, as an evolution of the gold standard 3-4 ports laparoscopic cholecystectomy. Objectives: The objective of the study was to assess the safety and feasibility of SILC using a novel Glove Port Technique. Methodology: This is an retrospective cohort study of SILC using a novel glove port technique, carried out at our centre from 1st September 2014 to 31st December 2016. Data on patients’ demographic data, operative time, post-operative pain, length of stay, post-operative intervention were retrieved from patients’ medical records and overall satisfaction were recorded at follow-up. Results : A total of 50 patients, mean age of 58.2 ± 16.5 years, underwent SILC at our centre during the study period and were included in the study. The mean operating time was 83.6 ± 39 minutes. Thirty-five patients (70%) underwent SILC without additional ports or conversion. All patients who underwent SILC had minimal blood loss of less than 50mls (only 2 patients who were converted to open cholecystectomy had blood loss of 200mls and 250mls). The mean score for postoperative pain were 3.4 ± 1.8. The length of stay was 2.8 ± 3.0 days. Only 6 cases developed post-operative complications, which resolved with treatment within 30 days. There was no mortality recorded. The mean satisfaction score at 1 month was 8.9. Conclusion: Although technically more challenging, SILC is a safe and feasible procedure, with good and satisfactory post-operative outcomes. However these satisfactory outcomes are only achieved currently by surgeons who are trained in advanced laparoscopic surgery.
Keywords: Cholecystectomy, Gallbladder, Incision, Laparoscopy, Port
Correspondence: Ikhwan Sani Mohamad, Department of Surgery, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia
Brunei Int Med J. 2017; 13 (5): 157-162