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Advantages and disadvantages of single incision laparoscopic cholecystectomy

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

El-Basyouni, Fahim , Sulayman, Mussttafa A. , El-Massri, Muhammad

Authors

Abdel-Wahed, Ahmad Shaddad

Accessioned

2017-07-12 06:42:03

Available

2017-07-12 06:42:03

type

M.Sc. Thesis

Abstract

Minimally invasive surgery has become the ‘‘gold standard’’ forcholecystectomy and patient’s choice because of less postoperative pain,better cosmetic results, faster recovery, and earlier return to normalactivity.For that reason many surgical diseases can be treatedlaparoscopically ensuring the same safety standard as conventionalsurgery. Applying laparoscopic techniques, operations are less traumatic;thus, the incidence of wound infections and incisional hernias hasdecreased.In this study SILS was successfully performed in 20 patients (14females and 6 males) using this single-port. Although the proceduresseemed to take longer than expected for traditional laparoscopiccholecystectomy, each intraoperative step was accomplished withconfidence, similar to standard multi-port laparoscopy.This study has shown that laparoscopic cholecystectomy can bedone using commercially available instruments, through a singleumbilical incision.SILS is more difficult than conventional laparoscopicCholecystectomy. The single port procedure may give less than adequatevisualization of the Callot’s triangle in some cases and in these it wouldbe wise to add a needle in the right hypochondriac region for fundus orliver retraction (13 cases in this study), a second retraction stitch forHartmann’s pouch was required in 7 cases in this study.

Issued

1 Jan 2010

DOI

http://dx.doi.org/10.21473/iknito-space/37470

Details

Type

Thesis

Created At

28 Jan 2023