Brief Article
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Mar 7, 2012; 18(9): 944-951
Published online Mar 7, 2012. doi: 10.3748/wjg.v18.i9.944
Original single-incision laparoscopic cholecystectomy for acute inflammation of the gallbladder
Kazunari Sasaki, Goro Watanabe, Masamichi Matsuda, Masaji Hashimoto
Kazunari Sasaki, Goro Watanabe, Masamichi Matsuda, Masaji Hashimoto, Department of Digestive Surgery, Hepato Pancreato Biliary Surgery Unit, Toranomon Hospital, 105-8470 Tokyo, Japan
Author contributions: Sasaki K, Watanabe G, Matsuda M and Hashimoto M contributed equally to this work; Sasaki K designed the study and wrote the manuscript.
Correspondence to: Kazunari Sasaki, MD, Department of Digestive Surgery, Hepato Pancreato Biliary Surgery Unit, Toranomon Hospital, 105-8470 Tokyo, Japan. sasakikazunari1978@hotmail.com
Telephone: +81-3-35881111 Fax: +81-3-35825333
Received: June 2, 2011
Revised: August 18, 2011
Accepted: August 27, 2011
Published online: March 7, 2012
Abstract

AIM: To investigate the safety and feasibility of our original single-incision laparoscopic cholecystectomy (SILC) for acute inflamed gallbladder (AIG).

METHODS: One hundred and ten consecutive patients underwent original SILC for gallbladder disease without any selection criteria and 15 and 11 of these were diagnosed with acute cholecystitis and acute gallstone cholangitis, respectively. A retrospective review was performed not only between SILC for AIG and non-AIG, but also between SILC for AIG and traditional laparoscopic cholecystectomy (TLC) for AIG in the same period.

RESULTS: Comparison between SILC for AIG and non-AIG revealed that the operative time was longer in SILC for AIG (97.5 min vs 85.0 min, P = 0.03). The open conversion rate (2/26 vs 2/84, P = 0.24) and complication rate (1/26 vs 3/84, P = 1.00) showed no differences, but a need for additional trocars was more frequent in SILC for AIG (5/24 vs 3/82, P = 0.01). Comparison between SILC for AIG and TLC for AIG revealed no differences based on statistical analysis.

CONCLUSION: Our original SILC technique was adequately safe and feasible for the treatment of acute cholecystitis and acute gallstone cholangitis.

Keywords: Single-incision laparoscopic cholecystectomy; Acute cholecystitis; Acute cholangitis