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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 16, Issue 1, Aug 2015 pp 49-52
Single incision two ports and two slings technique of laparoscopic cholecystectomy – A retrospective analysis of our practise
Loganathan Mannu1, Habeeb Mohammed Shajahan1, Balakrishnan V2, Karunanithi Ramaiah2, Natarajan Ramalingam3
1Associate Professor, 2Professor, 3Assistant Professor, Department of Surgery, Chettinad Hospital and Research Institute, IT Highway, Kelambakkam- 603 103, Kancheepuram District, Tamilnadu, INDIA.
Background: Since the advent of Single incision laparoscopic surgery, there has been genuine effort from the Laparoscopic fraternity to improvise the technique and make it safe, lesser discomfort and cost effective for the patients. One such effort is the use of standard laparoscopic trocars and instruments in accomplishing Single incision laparoscopic surgery. Various modifications have been introduced by various surgeons all over the world. Our modification is the first instance in literature, where cholecystectomy using standard laparoscopic instruments in single incision, has been done with only two ports. Here we analyse the expediency, safety, benefits, and drawbacks of our practice. Methods:For a duration of 2 years, 65 patients with cholelithiasis without any complications were operated upon by our modified single incision laparoscopic technique. Results were analysed. Results: All 65 patients were successfully operated upon by SITPS (Single incision two ports and two slings) technique. VAS score <4 in 64 patients and >5 in one patient. There was no significant postoperative complications. Seven patient had port site edema. No patient had port site infection. There was no incidence of port site hernia after one year follow up. Conclusion: SITPS technique of laparoscopic cholecystectomy is a technically feasible and safe alternative to standard laparoscopic approach, with reduced postoperative pain, with no visible scar and hence cosmetically superior.