Multidisciplinary management of Common Bile Duct Stones: A single centre experience of 844 patients over a five and a half year period

Abstract

Introduction: We reported performing laparoscopic cholecystectomy (LC), which appeared to be a difficult technique to perform in acute cholecystitis (AC), using singleincisional surgery (SILS) device. Method: Regarding the port setting, two trocars (5 mm and 12 mm) were inserted in the navel port using SILS device. The 5 mm trocar at the navel port was used by the instructing surgeon's right hand. Hemostasis was achieved using soft coagulation, appropriate counter traction, and instruction inside the operative field. We analyzed 275 AC patients who performed LC at our department. Result: Conversion to open surgery was needed in 6.2% of patients, and postoperative complications were occurred in 4.0% of patients in this study. After introducing this technique, there were no conversion to open surgery, intraoperative bile duct injury, and postoperative complications in the surgical trainee group. Conclusion: Early laparoscopic cholecystectomy using SILS device was achievable by a surgical trainee in AC.