Case Report

J Minim Invasive Surg 2014; 17(3): 51-54

Published online September 15, 2014

https://doi.org/10.7602/jmis.2014.17.3.51

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

Single-incision Laparoscopic Surgery for Simultaneous Appendectomy and Cholecystectomy

Sang-Hong Choi, M.D., Seung-Hyun Lee, M.D., Byung-Kwon Ahn, M.D., Sung-Uhn Baek, M.D.

Department of Surgery, Kosin University College of Medicine, Busan, Korea

Received: May 18, 2014; Revised: August 5, 2014; Accepted: August 19, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Single-incision laparoscopic surgery (SILS) has become popu-lar due to the advantage of minimizing surgical. We report on two cases of simultaneous appendectomy and chol-ecystectomy using a single-incision laparoscopic technique. The patients were 49- and 50-year old females diagnosed with acute appendicitis with concomitant cholelithiasis. Body mass indices of the patients were 22.3 and 26.0. A 3 cm ab-dominal incision was made via the umbilicus, and a single port platform was created using a small wound retractor (ALEXIS? wound retractor S, Applied Medical, Santa Margarita, CA, USA) and a surgical glove. Cholecystectomy was performed first, followed by the appendectomy. The operation times were 165 and 280 minutes, and blood loss was 50 and 150 cc, respectively. The postoperative hospital stays were five and seven days, and one patient had a wound seroma as a surgical complication. We believe that SILS for simultaneous appendectomy and cholecystectomy is a feasible and safe minimally invasive procedure.

Keywords Single-incision laparoscopic surgery, Appendectomy,Cholecystectomy

  1. Ahmed K, Wang TT, Patel VM, et al. The role of singleincision laparoscopic surgery in abdominal and pelvic surgery:a systematic review. Surg Endosc 2011;25:378-396.
    Pubmed CrossRef
  2. Chow A, Purkayastha S, Paraskeva P. Appendicectomy and cholecystectomy using single-incision laparoscopic surgery (SILS): the first UK experience. Surg Innov 2009;16:211-217.
    Pubmed CrossRef
  3. Hong TH, You YK, Lee KH. Transumbilical single-port laparoscopic cholecystectomy: scarless cholecystectomy. Surg Endosc 2009;23:1,393-1,397.
  4. Chouillard E, Dache A, Torcivia A, et al. Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience. Surg Endosc 2010;24:1,861-1,865.
  5. Rehman H, Ahmed I. Technical approaches to single port/incision laparoscopic appendectomy: a literature review. Ann R Coll Surg Engl 2011;93:508-513.
    Pubmed KoreaMed CrossRef
  6. Gao J, Li P, Li Q, Tang D, Wang DR. Comparison between single-incision and conventional three-port laparoscopic appendectomy:a meta-analysis from eight RCTs. Int J Colorectal Dis 2013;28:1,319-1,327.
  7. Markar SR, Karthikesalingam A, Thrumurthy S, Muirhead L, Kinross J, Paraskeva P. Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis. Surg Endosc 2012;26:1205-1213.
    Pubmed CrossRef
  8. Page T, Soomro NA. Bilateral simultaneous single-port (LESS) laparoscopic nephrectomy (laparoendoscopic single site surgery). Indian J Urol 2010 Oct;26(4):590-592.
    Pubmed KoreaMed CrossRef
  9. Surico D, Gentilli S, Vigone A, Paulli E, Leo L, Surico N. Laparoendoscopic single-site surgery for treatment of concomitant ovarian cystectomy and cholecystectomy. J Minim Invasive Gynecol 2010;17:656-659.
    Pubmed CrossRef
  10. Hart S, Ross S, Rosemurgy A. Laparoscopic single-site combined cholecystectomy and hysterectomy. J Minim Invasive Gynecol 2010;17:798-801.
    Pubmed CrossRef

Article

Case Report

J Minim Invasive Surg 2014; 17(3): 51-54

Published online September 15, 2014 https://doi.org/10.7602/jmis.2014.17.3.51

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

Single-incision Laparoscopic Surgery for Simultaneous Appendectomy and Cholecystectomy

Sang-Hong Choi, M.D., Seung-Hyun Lee, M.D., Byung-Kwon Ahn, M.D., Sung-Uhn Baek, M.D.

Department of Surgery, Kosin University College of Medicine, Busan, Korea

Received: May 18, 2014; Revised: August 5, 2014; Accepted: August 19, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Single-incision laparoscopic surgery (SILS) has become popu-lar due to the advantage of minimizing surgical. We report on two cases of simultaneous appendectomy and chol-ecystectomy using a single-incision laparoscopic technique. The patients were 49- and 50-year old females diagnosed with acute appendicitis with concomitant cholelithiasis. Body mass indices of the patients were 22.3 and 26.0. A 3 cm ab-dominal incision was made via the umbilicus, and a single port platform was created using a small wound retractor (ALEXIS? wound retractor S, Applied Medical, Santa Margarita, CA, USA) and a surgical glove. Cholecystectomy was performed first, followed by the appendectomy. The operation times were 165 and 280 minutes, and blood loss was 50 and 150 cc, respectively. The postoperative hospital stays were five and seven days, and one patient had a wound seroma as a surgical complication. We believe that SILS for simultaneous appendectomy and cholecystectomy is a feasible and safe minimally invasive procedure.

Keywords: Single-incision laparoscopic surgery, Appendectomy,Cholecystectomy

References

  1. Ahmed K, Wang TT, Patel VM, et al. The role of singleincision laparoscopic surgery in abdominal and pelvic surgery:a systematic review. Surg Endosc 2011;25:378-396.
    Pubmed CrossRef
  2. Chow A, Purkayastha S, Paraskeva P. Appendicectomy and cholecystectomy using single-incision laparoscopic surgery (SILS): the first UK experience. Surg Innov 2009;16:211-217.
    Pubmed CrossRef
  3. Hong TH, You YK, Lee KH. Transumbilical single-port laparoscopic cholecystectomy: scarless cholecystectomy. Surg Endosc 2009;23:1,393-1,397.
  4. Chouillard E, Dache A, Torcivia A, et al. Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience. Surg Endosc 2010;24:1,861-1,865.
  5. Rehman H, Ahmed I. Technical approaches to single port/incision laparoscopic appendectomy: a literature review. Ann R Coll Surg Engl 2011;93:508-513.
    Pubmed KoreaMed CrossRef
  6. Gao J, Li P, Li Q, Tang D, Wang DR. Comparison between single-incision and conventional three-port laparoscopic appendectomy:a meta-analysis from eight RCTs. Int J Colorectal Dis 2013;28:1,319-1,327.
  7. Markar SR, Karthikesalingam A, Thrumurthy S, Muirhead L, Kinross J, Paraskeva P. Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis. Surg Endosc 2012;26:1205-1213.
    Pubmed CrossRef
  8. Page T, Soomro NA. Bilateral simultaneous single-port (LESS) laparoscopic nephrectomy (laparoendoscopic single site surgery). Indian J Urol 2010 Oct;26(4):590-592.
    Pubmed KoreaMed CrossRef
  9. Surico D, Gentilli S, Vigone A, Paulli E, Leo L, Surico N. Laparoendoscopic single-site surgery for treatment of concomitant ovarian cystectomy and cholecystectomy. J Minim Invasive Gynecol 2010;17:656-659.
    Pubmed CrossRef
  10. Hart S, Ross S, Rosemurgy A. Laparoscopic single-site combined cholecystectomy and hysterectomy. J Minim Invasive Gynecol 2010;17:798-801.
    Pubmed CrossRef

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