Transumbilical Laparoendoscopic Single Site Cholecystectomy: A Report of 62 Cases_West China Medical Journal

Authors：

 HUANGCai-fu , ANMing-fa , CHENKun

Surgical Ward 2, Traditional Chinese Medicine Hospital of Jiangyou City, Jiangyou, Sichuan 621700, P. R. China;

Corresponding?author：

Keywords：

Single-site; Laparoscopy; Cholecystectomy

DOI：

10.7507/1002-0179.20150009

Video：

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Objective To evaluate the security and feasibility of transumbilical laparoendoscopic single-site cholecystectomy (TULESC) with conventional laparoscopic instruments. Methods The clinical data of 62 adult patients undergoing TULESC between October 2011 and June 2013 were analyzed retrospectively. There were 13 males and 49 females aged between 22 and 70 years old averaging 40±15. Forty-nine patients suffered from chronic cholecystitis with cholelithiasis, 10 from asymptomatic cholelithiasis and 3 from cholecystic polyposis. A single arc incision was cut on the edge of the umbilicus, and two 10 mm Trocars and one 5 mm Trocar were placed by puncture. Cholecystectomy was performed with conventional laparoscopic instruments and equipment. Results All the 62 patients underwent TULESC successfully without severe complications such as bile leakage or biliary injury. The operation time was 20-70 minutes with the average of (40±15) minutes; The blood loss was 5-40 mL with the average of (15±10) mL. All the patients were discharged from the hospital within 3 to 7 days after surgery, averaging 4.0±1.0. During the 1 to 12-month follow-up (averaging 3 months), there was no obviously visible scars on the abdominal wall and the aesthetic effect was significant. Conclusion TULESC with conventional laparoscopic instruments and equipment is safe, feasible and cosmetic.

Citation： HUANGCai-fu, ANMing-fa, CHENKun. Transumbilical Laparoendoscopic Single Site Cholecystectomy: A Report of 62 Cases. West China Medical Journal, 2015, 30(1): 38-40. doi: 10.7507/1002-0179.20150009 Copy

1.	Remzi FH, Kirat HT, Kaouk JH, et al. Single-port laparoscopy in colorectal surgery[J]. Colorectal Dis, 2008, 10(8):823-826.
2.	Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoscopic cholecystectomy[J]. Br J Surg, 1997, 84(5):695.
3.	蔡景理, 徐魯白, 林孝坤, 等.經臍單孔無異物腹腔鏡手術的臨床應用[J].肝膽胰外科雜志, 2010, 22(3):218-219.
4.	Hall TC, Dennison AR, Bilku, et al. Single-incision laparoscopic cholecystectomy:a systematic review[J]. Arch Surg, 2012, 147(7):657-666.
5.	周曉娜, 張忠濤.經臍單孔腹腔鏡外科技術應用現狀和展望[J].中國實用外科雜志, 2009, 29(1):42-43.
6.	周群, 吳寧, 劉海亮, 等.經臍單孔針式腹腔鏡膽囊切除術326例臨床觀察[J].中國實用外科雜志, 2011, 31(3):246-248.
7.	Cuesta MA, Berends F, Veenhof AA. The "invisible cholecystectomy":a transumbilical laparoscopic operation without a scar[J]. Surg Endosc, 2008, 22(5): 1211-1213.
8.	Duron VP, Nicastri GR, Gill PS. Novel technique for a single-incision laparoscopic surgery (SILS) approach to cholecystectomy:single-institution case series[J]. Surg Endosc, 2011, 25(5):1666-1671.
9.	Hong TH, You YK, Lee KH. Transumbilical single-port laparoscopic cholecystectomy:scarless cholecystectomy[J]. Surg Endosc, 2009, 23(6):1393-1397.
10.	Kuon LS, You YK, Park JH, et al. Single-port transumbilical laparoscopic cholecystectomy:a preliminary study in 37 patients with gallbladder disease[J]. J Laparoendosc Adv Surg Tech A, 2009, 19(4):495-499.
11.	張寶杭, 繆金透, 劉璐慶.復雜性腹腔鏡膽囊切除術手術安全性探討[J].中國中西醫結合外科雜志, 2010, 16(4):458-459.
12.	朱江帆, 胡海, 徐曼珠, 等.臍部雙套管技術經臍入路腹腔鏡膽囊切除術26例[J].中國微創外科雜志, 2008, 14(7):624-626.
13.	Philipp SR, Miedema BW, Thaler K. Single-incision laparoscopic cholecystectomy using conventional instruments:early experience in comparison with the gold standard[J]. J Am Coll Surg, 2009, 209(5):632-637.
14.	Abdelaziz HAM, Elsebae MM, Nasr MM, et al. Single institution experience of single incision trans-umbilical laparoscopic cholecystectomy using conventional laparoscopic instruments[J]. Int J Surg, 2012, 10(9):514-517.

1. Remzi FH, Kirat HT, Kaouk JH, et al. Single-port laparoscopy in colorectal surgery[J]. Colorectal Dis, 2008, 10(8):823-826.
2. Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoscopic cholecystectomy[J]. Br J Surg, 1997, 84(5):695.
3. 蔡景理, 徐魯白, 林孝坤, 等.經臍單孔無異物腹腔鏡手術的臨床應用[J].肝膽胰外科雜志, 2010, 22(3):218-219.
4. Hall TC, Dennison AR, Bilku, et al. Single-incision laparoscopic cholecystectomy:a systematic review[J]. Arch Surg, 2012, 147(7):657-666.
5. 周曉娜, 張忠濤.經臍單孔腹腔鏡外科技術應用現狀和展望[J].中國實用外科雜志, 2009, 29(1):42-43.
6. 周群, 吳寧, 劉海亮, 等.經臍單孔針式腹腔鏡膽囊切除術326例臨床觀察[J].中國實用外科雜志, 2011, 31(3):246-248.
7. Cuesta MA, Berends F, Veenhof AA. The "invisible cholecystectomy":a transumbilical laparoscopic operation without a scar[J]. Surg Endosc, 2008, 22(5): 1211-1213.
8. Duron VP, Nicastri GR, Gill PS. Novel technique for a single-incision laparoscopic surgery (SILS) approach to cholecystectomy:single-institution case series[J]. Surg Endosc, 2011, 25(5):1666-1671.
9. Hong TH, You YK, Lee KH. Transumbilical single-port laparoscopic cholecystectomy:scarless cholecystectomy[J]. Surg Endosc, 2009, 23(6):1393-1397.
10. Kuon LS, You YK, Park JH, et al. Single-port transumbilical laparoscopic cholecystectomy:a preliminary study in 37 patients with gallbladder disease[J]. J Laparoendosc Adv Surg Tech A, 2009, 19(4):495-499.
11. 張寶杭, 繆金透, 劉璐慶.復雜性腹腔鏡膽囊切除術手術安全性探討[J].中國中西醫結合外科雜志, 2010, 16(4):458-459.
12. 朱江帆, 胡海, 徐曼珠, 等.臍部雙套管技術經臍入路腹腔鏡膽囊切除術26例[J].中國微創外科雜志, 2008, 14(7):624-626.
13. Philipp SR, Miedema BW, Thaler K. Single-incision laparoscopic cholecystectomy using conventional instruments:early experience in comparison with the gold standard[J]. J Am Coll Surg, 2009, 209(5):632-637.
14. Abdelaziz HAM, Elsebae MM, Nasr MM, et al. Single institution experience of single incision trans-umbilical laparoscopic cholecystectomy using conventional laparoscopic instruments[J]. Int J Surg, 2012, 10(9):514-517.

West China Medical Journal

Transumbilical Laparoendoscopic Single Site Cholecystectomy: A Report of 62 Cases

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