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Appendicectomy and Cholecystectomy Using Single-Incision Laparoscopic Surgery (SILS): The First UK Experience

Imperial College London, St Mary's Hospital Campus, London, UK

Sanjay Purkayastha

Imperial College London, St Mary's Hospital Campus, London, UK, p.paraskevas @imperial.ac.uk

Paraskevas Paraskeva

Imperial College London, St Mary's Hospital Campus, London, UK

Introduction. Single-incision laparoscopic surgery (SILS) has the potential advantages of reduced postoperative pain and reduced port-site complications. Careful attention to closure can lead to virtually "scarless" surgery. In this article, we present our first experiences with SILS appendicectomy and cholecystectomy. Method . SILS appendicectomy and cholecystectomy was performed in 12 and 14 patients, respectively. Data were collected prospectively and analyzed retrospectively from case notes and the theater database. Results. The average operating times were 61.3 and 142.9 minutes for SILS appendicectomy and SILS cholecystectomy, respectively. There was a good correlation between increasing experience and a reduction in operative time with Pearson’s coefficient being –1 for appendicectomy and –0.56 for cholecystectomy. There were no postoperative complications in the SILS appendicectomy group. One patient in the SILS cholecystectomy group suffered a postoperative biliary leak from an accessory duct of Lushka. Conclusions. In our series, we have demonstrated SILS to be a safe and efficacious method for appendicectomy and cholecystectomy. Further studies are required to investigate any potential advantages of this method over standard laparoscopic techniques.

Key Words: single-incision laparoscopic surgery • appendicectomy cholecystectomy • SILS

This version was published on September 1, 2009

Surgical Innovation, Vol. 16, No. 3, 211-217 (2009)
DOI: 10.1177/1553350609344413


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