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Single Incision Laparoscopic Cholecystectomy (SILC) using a novel glove port technique: Early unit experience

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dc.contributor.affiliationsUniversity Kebangsaan Malaysia (UKM) Medical Centre
dc.contributor.affiliationsUniversity Sains Malaysia (USM)
dc.contributor.affiliationsUniversiti Sains Islam Malaysia (USIM)
dc.contributor.authorOthman H.en_US
dc.contributor.authorIkhwan S.M.en_US
dc.contributor.authorAzman A.en_US
dc.contributor.authorZuhdi Z.en_US
dc.contributor.authorAriffin ACen_US
dc.contributor.authorJarmin R.en_US
dc.date.accessioned2024-05-28T08:38:15Z
dc.date.available2024-05-28T08:38:15Z
dc.date.issued2017
dc.description.abstractBackground: Single Incision Laparoscopic Cholecystectomy (SILC) was first introduced about 2 decades ago, as an evolution of the gold standard 3-4 ports laparoscopic cholecystectomy. Objectives: The objective of the study was to assess the safety and feasibility of SILC using a novel Glove Port Technique. Methodology: This is an retrospective cohort study of SILC using a novel glove port technique, carried out at our centre from 1st September 2014 to 31st December 2016. Data on patients' demographic data, operative time, postoperative pain, length of stay, postoperative intervention were retrieved from patients' medical records and overall satisfaction were recorded at followup. Results: A total of 50 patients, mean age of 58.2 � 16.5 years, underwent SILC at our centre during the study period and were included in the study. The mean operating time was 83.6 + 39 minutes. Thirty-five patients (70%) underwent SILC without additional ports or conversion. All patients who underwent SILC had minimal blood loss of less than 50mls (only 2 patients who were converted to open cholecystectomy had blood loss of 200mls and 250mls). The mean score for postoperative pain were 3.4 � 1.8. The length of stay was 2.8 � 3.0 days. Only 6 cases developed postoperative complications, which resolved with treatment within 30 days. There was no mortality recorded. The mean satisfaction score at 1 month was 8.9. Conclusion: Although technically more challenging, SILC is a safe and feasible procedure, with good and satisfactory postoperative outcomes. However these satisfactory out-comes are only achieved currently by surgeons who are trained in advanced laparoscopic surgery.en_US
dc.description.natureFinalen_US
dc.identifier.epage162
dc.identifier.issn15605876
dc.identifier.issue5
dc.identifier.scopus2-s2.0-85040637416
dc.identifier.spage157
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85040637416&partnerID=40&md5=0ff557dbbecb5adb8ced71e6d92e7c02
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/9209
dc.identifier.volume13
dc.languageEnglish
dc.language.isoen_USen_US
dc.publisherMinistry of Healthen_US
dc.relation.ispartofBrunei International Medical Journalen_US
dc.sourceScopus
dc.subjectCholecystectomyen_US
dc.subjectGallbladderen_US
dc.subjectIncisionen_US
dc.subjectLaparoscopyen_US
dc.subjectPorten_US
dc.titleSingle Incision Laparoscopic Cholecystectomy (SILC) using a novel glove port technique: Early unit experienceen_US
dc.title.alternativeBrunei Int. Med. J.en_US
dc.typeArticleen_US
dspace.entity.typePublication

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