caa a22 4500 606246835 CHVBK 20210128101342.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0946-9 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0946-9 Transumbilical SILC Using Conventional Laparoscopic Instruments—Initial Experience in a Resource-Limited Setting [Elektronische Daten] [Mumtaz Wani, Muddassir Shahdhar, Umar Sheikh] In the era of minimal access, single-incision laparoscopic surgery is gaining popularity. Expensive ports, disposable hand instruments and flexible endoscopes have been utilised, but they increase the cost of operation. We report our initial experience of two-trocar single-incision laparoscopic cholecystectomy (SILC) in 70 patients using conventional instruments that can be adapted as a novel technique in achieving minimal trauma and aesthetic results in resource-limited hospitals. Between September 2011 and September 2012, 70 consecutive patients underwent an attempted SILC in a single centre. The mean age of the patients was 42years (range 18-65years). There were 12 males and 58 females with a male-to-female ratio of 1:4.8. Transumbilical incision was used to access the abdomen, and two 10-mm ports/trocars were placed through the single incision side by side, maintaining a facial bridge of 5-8mm in between. Gall bladder was manipulated through two strategically placed traction sutures to expose the Callot's triangle. Mean operation time in our series was 42.12min (range 22-90min). There was no need of additional sutures. Bleeding was minimal in nearly all cases. The mean hospital stay was 1.06days (range 1-4days). The post-operative analgesic requirement was one dose in 60.4% patients. Additional port was required in two of our patients. Two patients needed conversion to open surgery. There was no major complication or mortality in our series. This technique of two-trocar SILC using conventional instruments can be adapted as a less invasive surgical procedure in resource-limited hospitals in selected group of patients. Cosmetic result, reduced pain, short hospital stay and the degree of satisfaction appear to be significant with this technique. Association of Surgeons of India, 2013 Cholecystectomy nationallicence Laparoscopic nationallicence SILC nationallicence SILS nationallicence Single incision nationallicence GB (gall bladder) nationallicence Wani Mumtaz Department of Surgery, SMHS Hospital Srinagar, Srinagar, Jammu and Kashmir, India aut Shahdhar Muddassir Department of Surgery, SMHS Hospital Srinagar, Srinagar, Jammu and Kashmir, India aut Sheikh Umar Department of Surgery, SMHS Hospital Srinagar, Srinagar, Jammu and Kashmir, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 624-627 0972-2068 77<624 2015 77 12262 https://doi.org/10.1007/s12262-013-0946-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0946-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wani Mumtaz Department of Surgery, SMHS Hospital Srinagar, Srinagar, Jammu and Kashmir, India aut NATIONALLICENCE 700 1- Shahdhar Muddassir Department of Surgery, SMHS Hospital Srinagar, Srinagar, Jammu and Kashmir, India aut NATIONALLICENCE 700 1- Sheikh Umar Department of Surgery, SMHS Hospital Srinagar, Srinagar, Jammu and Kashmir, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 624-627 0972-2068 77<624 2015 77 12262