Use of the SAND balloon catheter in single-incision laparoscopic cholecystectomy for acute cholecystitis.

Toru Ikegami, Ken Shirabe, Tomoharu Yoshizumi, Hiroto Kayashima, Yoshihiko Maehara

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

SILS for acute cholecystitis is technically challenging because of the difficulties in obtaining optical surgical field. A 2-cm incision was made through the umbilicus, a single port and trocars were introduced, and the abdomen was then insufflated. A 5-mm SAND balloon punctured the abdominal wall and then the gallbladder wall. The distal and proximal balloons were inflated to prevent bile leakage, and the bile was aspirated. The collapsed gallbladder was then retracted cephalad, the critical structures were exposed, and the cystic artery and duct were divided. The gallbladder was dissected and removed through the umbilicus, and the abdomen was closed. We performed this procedure in three cases with acute cholecystitis. Operative times were 95, 133 and 244 min, blood loss was 5, 10 and 43 mL, and postoperative hospital stay was 2, 2 and 3 days, respectively. The single-incision laparoscopic approach with the SAND balloon is a feasible technique for acute cholecystitis.

Original languageEnglish
Pages (from-to)134-136
Number of pages3
JournalUnknown Journal
Volume6
Issue number2
DOIs
Publication statusPublished - May 2013

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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