Single Incision Laparoscopic Cholecystectomy (SILC) using a novel glove port technique

Early unit experience

Hairol Azrin Othman, Sani Mohamad Ikhwan, Azlanudin Azman, Zamri Zuhdi, A. C. Ariffin, Razman Jarmin

Research output: Contribution to journalArticle

Abstract

Background: Single Incision Laparoscopic Cholecystectomy (SILC) was first introduced about 2 decades ago, as an evolution of the gold standard 3-4 ports laparoscopic cholecystectomy. Objectives: The objective of the study was to assess the safety and feasibility of SILC using a novel Glove Port Technique. Methodology: This is an retrospective cohort study of SILC using a novel glove port technique, carried out at our centre from 1st September 2014 to 31st December 2016. Data on patients' demographic data, operative time, postoperative pain, length of stay, postoperative intervention were retrieved from patients' medical records and overall satisfaction were recorded at followup. Results: A total of 50 patients, mean age of 58.2 ± 16.5 years, underwent SILC at our centre during the study period and were included in the study. The mean operating time was 83.6 + 39 minutes. Thirty-five patients (70%) underwent SILC without additional ports or conversion. All patients who underwent SILC had minimal blood loss of less than 50mls (only 2 patients who were converted to open cholecystectomy had blood loss of 200mls and 250mls). The mean score for postoperative pain were 3.4 ± 1.8. The length of stay was 2.8 ± 3.0 days. Only 6 cases developed postoperative complications, which resolved with treatment within 30 days. There was no mortality recorded. The mean satisfaction score at 1 month was 8.9. Conclusion: Although technically more challenging, SILC is a safe and feasible procedure, with good and satisfactory postoperative outcomes. However these satisfactory out-comes are only achieved currently by surgeons who are trained in advanced laparoscopic surgery.

Original languageEnglish
Pages (from-to)157-162
Number of pages6
JournalBrunei International Medical Journal
Volume13
Issue number5
Publication statusPublished - 1 Jan 2017

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Laparoscopic Cholecystectomy
Postoperative Pain
Length of Stay
Cholecystectomy
Operative Time
Laparoscopy
Medical Records
Cohort Studies
Retrospective Studies
Demography
Safety
Mortality

Keywords

  • Cholecystectomy
  • Gallbladder
  • Incision
  • Laparoscopy
  • Port

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Single Incision Laparoscopic Cholecystectomy (SILC) using a novel glove port technique: Early unit experience",
abstract = "Background: Single Incision Laparoscopic Cholecystectomy (SILC) was first introduced about 2 decades ago, as an evolution of the gold standard 3-4 ports laparoscopic cholecystectomy. Objectives: The objective of the study was to assess the safety and feasibility of SILC using a novel Glove Port Technique. Methodology: This is an retrospective cohort study of SILC using a novel glove port technique, carried out at our centre from 1st September 2014 to 31st December 2016. Data on patients' demographic data, operative time, postoperative pain, length of stay, postoperative intervention were retrieved from patients' medical records and overall satisfaction were recorded at followup. Results: A total of 50 patients, mean age of 58.2 ± 16.5 years, underwent SILC at our centre during the study period and were included in the study. The mean operating time was 83.6 + 39 minutes. Thirty-five patients (70{\%}) underwent SILC without additional ports or conversion. All patients who underwent SILC had minimal blood loss of less than 50mls (only 2 patients who were converted to open cholecystectomy had blood loss of 200mls and 250mls). The mean score for postoperative pain were 3.4 ± 1.8. The length of stay was 2.8 ± 3.0 days. Only 6 cases developed postoperative complications, which resolved with treatment within 30 days. There was no mortality recorded. The mean satisfaction score at 1 month was 8.9. Conclusion: Although technically more challenging, SILC is a safe and feasible procedure, with good and satisfactory postoperative outcomes. However these satisfactory out-comes are only achieved currently by surgeons who are trained in advanced laparoscopic surgery.",
keywords = "Cholecystectomy, Gallbladder, Incision, Laparoscopy, Port",
author = "Othman, {Hairol Azrin} and Ikhwan, {Sani Mohamad} and Azlanudin Azman and Zamri Zuhdi and Ariffin, {A. C.} and Razman Jarmin",
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journal = "Brunei International Medical Journal",
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T1 - Single Incision Laparoscopic Cholecystectomy (SILC) using a novel glove port technique

T2 - Early unit experience

AU - Othman, Hairol Azrin

AU - Ikhwan, Sani Mohamad

AU - Azman, Azlanudin

AU - Zuhdi, Zamri

AU - Ariffin, A. C.

AU - Jarmin, Razman

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Background: Single Incision Laparoscopic Cholecystectomy (SILC) was first introduced about 2 decades ago, as an evolution of the gold standard 3-4 ports laparoscopic cholecystectomy. Objectives: The objective of the study was to assess the safety and feasibility of SILC using a novel Glove Port Technique. Methodology: This is an retrospective cohort study of SILC using a novel glove port technique, carried out at our centre from 1st September 2014 to 31st December 2016. Data on patients' demographic data, operative time, postoperative pain, length of stay, postoperative intervention were retrieved from patients' medical records and overall satisfaction were recorded at followup. Results: A total of 50 patients, mean age of 58.2 ± 16.5 years, underwent SILC at our centre during the study period and were included in the study. The mean operating time was 83.6 + 39 minutes. Thirty-five patients (70%) underwent SILC without additional ports or conversion. All patients who underwent SILC had minimal blood loss of less than 50mls (only 2 patients who were converted to open cholecystectomy had blood loss of 200mls and 250mls). The mean score for postoperative pain were 3.4 ± 1.8. The length of stay was 2.8 ± 3.0 days. Only 6 cases developed postoperative complications, which resolved with treatment within 30 days. There was no mortality recorded. The mean satisfaction score at 1 month was 8.9. Conclusion: Although technically more challenging, SILC is a safe and feasible procedure, with good and satisfactory postoperative outcomes. However these satisfactory out-comes are only achieved currently by surgeons who are trained in advanced laparoscopic surgery.

AB - Background: Single Incision Laparoscopic Cholecystectomy (SILC) was first introduced about 2 decades ago, as an evolution of the gold standard 3-4 ports laparoscopic cholecystectomy. Objectives: The objective of the study was to assess the safety and feasibility of SILC using a novel Glove Port Technique. Methodology: This is an retrospective cohort study of SILC using a novel glove port technique, carried out at our centre from 1st September 2014 to 31st December 2016. Data on patients' demographic data, operative time, postoperative pain, length of stay, postoperative intervention were retrieved from patients' medical records and overall satisfaction were recorded at followup. Results: A total of 50 patients, mean age of 58.2 ± 16.5 years, underwent SILC at our centre during the study period and were included in the study. The mean operating time was 83.6 + 39 minutes. Thirty-five patients (70%) underwent SILC without additional ports or conversion. All patients who underwent SILC had minimal blood loss of less than 50mls (only 2 patients who were converted to open cholecystectomy had blood loss of 200mls and 250mls). The mean score for postoperative pain were 3.4 ± 1.8. The length of stay was 2.8 ± 3.0 days. Only 6 cases developed postoperative complications, which resolved with treatment within 30 days. There was no mortality recorded. The mean satisfaction score at 1 month was 8.9. Conclusion: Although technically more challenging, SILC is a safe and feasible procedure, with good and satisfactory postoperative outcomes. However these satisfactory out-comes are only achieved currently by surgeons who are trained in advanced laparoscopic surgery.

KW - Cholecystectomy

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KW - Laparoscopy

KW - Port

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