Abstract

PARRA, Michael William; PUENTES-MANOSALVA, Fabián E  and  SUAREZ, José Mauricio. Single site cholecystectomy utilizing a surgical glove. rev. colomb. cir. [online]. 2011, vol.26, n.1, pp.56-61. ISSN 2011-7582.

Introduction: Contemporary focus in laparoscopic surgery has been the development of less invasive techniques. With recent advancements in this area, it is currently possible to introduce several instruments via one single transumbilical incision. Materials and Methods: We describe a technique in which a laparoscopic cholecystectomy is performed via a single transumbilical incision with the novel use of a wound retractor (Alexis®; Applied Medical, Rancho Santa Margarita, CA) and a surgical glove. Results: We successfully performed a single site laparoscopic cholecystectomy in a 40 year old female who presented with an episode of acute cholecystitis. The patient had a history of biliary colic for several months prior to admission. The diagnosis of acute cholecystitis was confirmed by ultrasound. The procedure took 50 minutes and there were no intra or post operative complications. Discussion: Single site laparoscopic cholecystectomy using a surgical glove is a safe, easily accessible and economical technique that can be applied especially in developing countries in which comparable but much more expensive ports of access are not obtainable.

Keywords : cholecystectomy; laparoscopic; video-assisted Surgery; NOTES; SILC; Alexis wound retractor system.

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