Supra-Pubic single incision cholecystectomy

Monika E. Hagen, Oliver J. Wagner, Kari Thompson, Garth Jacobsen, Adam Spivack, Brian Wong, Mark Talamini, Santiago Horgan

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Surgery is moving towards less invasive and cosmetically superior approaches such as single incision laparoscopy (SIL). While trans-umbilical SIL is gaining popularity, incisions may lead to post-operative deformations of the umbilicus and the possibility of an increased rate of incisional hernias. Access within the pubic hairline allows preservation of the umbilicus and results in a scar which is concealed within the pubic hair. Methods: Supra-pubic single incision cholecystectomy was performed in a 30-year-old patient with symptomatic gallstones. A 2.5-cm transverse incision was placed within the pubic hairline and a subcutaneous tunnel was formed. Three 5-mm ports were introduced into the tunnel and perforated the anterior rectus sheath superior to the skin incision. The surgical procedure was then undertaken with conventional laparoscopic instrumentation. The adjacent 5-mm incisions were merged for gallbladder removal. The entry site was closed under direct vision. Results: The above procedure was technically feasible and without complication. Operative time was 45 min, and the patient was discharged 5 h post-operatively. Conclusions: Supra-pubic single incision laparoscopic cholecystectomy may offer a more cosmetically appealing result than standard umbilical access. The operation can be performed by surgeons skilled in single incision techniques with good result.

Original languageEnglish (US)
Pages (from-to)404-407
Number of pages4
JournalJournal of Gastrointestinal Surgery
Volume14
Issue number2
DOIs
StatePublished - Feb 2010

Keywords

  • Laparoscopy
  • Minimally invasive surgery
  • NOTES
  • Single access surgery
  • Single incision laparoscopic surgery

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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