2017 Volume 42 Issue 1 Pages 6-12
We report our experience and outcomes of single-incision simultaneous laparoscopic surgery (SISLS) for two different abdominal diseases. During recent 5 years we performed SISLS in 5 patients. The mean age was 63.6 years, and 2 males and 3 females. Their preoperative diagnoses were cholecystolithasis and liver cyst in 2 cases, cholecystolithasis and chronic appendicitis, cholecystolithasis and gastric submucosal tumor and gastric submucosal tumor and right inguinal hernia in one, respectively. The operative approach used 3-ports glove method of 5-mm instruments from a transumbilical longitudinal incision 2.5 cm in diameter. There were no conversions to conventional or open method. They consisted of cholecystectomy and unroofing in 2 cases, cholecystectomy and appendectomy, cholecystectomy and local resection of stomach, and local resection of stomach and inguinal herniorrhaphy in one, respectively. The mean operation time, estimated blood loss and postoperative hospital stay were 120.8 min, 13.6 ml and 4.8 days. SISLS is a feasible and safe procedure without the elongation of operation time under the strict indication and an experienced surgeon of single-incision laparoscopic surgery.
