engleski

Our expirience with SILS method

Background. For the last seventeen years laparoscopic cholecystectomy has remained the gold standard procedure for gallbladder surgery. Today, however, there is a trend of using even less invasive procedures such as SILS (Single Incision Laparoscopic Surgery). With SILS abdominal operations are performed with laparoscopic instruments placed through a single, small umbilical incision. Our goal was to show the initial experiences we have with SILS. Methods. Data was collected from chart review of 8 patients that have undergone SILS cholecystectomy at our department. The patients were also observed following the procedure and later during regular check-up by the operator. Results. The median operative time was 72min. Time of operation and safety of the procedure depended greatly on surgeons experience in laparoscopic surgery. The median hospital stay following procedure was 3.5 days. Average BMI (body mass index) was 30.2 kg=cm2. None of the patients had any postoperative complications. Conclusions. The results from the current series show SILS laparoscopic cholecystectomy to be a promising technique. SILS requires experienced laparoscopic surgeons. However, evaluation of the efficacy and safety of this procedure ask for further clinical studies on a greater number of patients. Follow-up of patients is in progress and we will be able to report on any possible late complications in the future.

SILS

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