Ashraf Farouk Abdeer1, Amr Mohamed Elhefny2, Wadie Boshra Gerges3,John Sobhy Mamlouk Sawires4
Ahmed Samir Hosny, Mohamed Hosny Ezz El Arab, AmrAbd El Rahim Mohamed
Ahmed Samir Hosny, Ahmed M. Elmahrouky
Hassan A.Saad, Kamal Rabi Eid, Tamer Mohamed Elshahidy
Hany M S Mikhail1 MD FRCS, Athar S M Elward MD, Tarek A. Awad1 M.Sc MRCS, Mohamed H.A. Fahmy1 MD., Ahmed Amr Mohsen2 M.Sc
Amer nasr, MD;1 Mohamed A.Safy El Deen2
Hazem Abdel Salam Mohamed; Fawzy Salah Fawzy; Fady Assem Awad Youssef
Nader M. Milad (M.D, MSc, MRCS, MBBCh.)1, Ahmed Kandeel(M.D, MSc, MBBCh.)2, Mahasen Abougabal (M.D, MSc, MBBCh.)2, Karim K. Maurice (M.D, MSc, MRCS, MBBCh.)1
Ehab H. Abd El-Wahab,MD; Ahmad Gamal El Deen,MD; Amr H. Afifi,MD
Haitham Akram Saimeh
Tamer.M.EL Gaabary, MD, Mohamed Shaaban, MSc., Salah.S. Soliman MD, MRCS,
Mina Nabil Rashied Manasseh; Ibrahim Magid Abdel-Maksoud; Yasser Abdel-Samee Mohammed
Omar Sherif Omar MD, Ahmed El Nogoomi M.B.B.C.H, Ahmed Mostafa Shazly MD, Mahmoud A. Ameen MD
Is Single-Incision Laparoscopic Cholecystectomy Safe? A comparison between Single-Port and Multi-Port Laparoscopic Cholecystectomy. A Randomised controlled trial
Background: Although the first single-incision laparoscopic cholecystectomy was described in 1997 by
Navarra et al., this technique has spread slowly until most recent years. One of the main problems was
concern about its safety specially regards CBD injuries. However, SILC holds the promise of improving the
cosmetic results, reduce post-operative pain, allow early return to work resulting in greater patient
satisfaction. Patients and Methods: Forty patients with chronic calcular cholecystitis underwent
laparoscopic cholecystectomy. Twenty patients were subjected to SILC and were compared to the other
twenty patients subjected to MILC concerning feasibility, operative time, occurrence of complications,
degree of port-site pain, duration of hospital stay and finally, the aesthetic results. Results: At first, the
operative time for SILC was considerably longer but later, it became almost comparable to that of MILC.
CBD injury occurred in one case in the SILC group and the hepatic artery was injured in another case.
Pain was significantly lower and this had resulted into lower analgesic demands and into shorter hospital
stay. No port-site hernias were reported in the two groups. Finally, most of the cases in the SILC group
were very satisfied with the aesthetic results. Conclusion: SILC was found to be safe, feasible, quite
reproducible and had allowed early return to work through less pain and shorter hospital stay, and it had
definitely resulted in better aesthetic results. However, SILC was found to be more expensive due to
requiring single-use specialized instruments to complete the task safely.
Key Words: Single-port, Cholecystectomy, Laparoscopic, Scarless, Single-incision, Minimally Invasive.