EN
TÜRKÇE
Oral Presentation - 20
SILS Cholycystectomy
E Raboei, A Ghallab, A Alsaggaf, A Zein, M Fayez, Y Owiwi, A Atta, Z Al Nefaie, S Alghamdi
KFAFH, Jeddah, Saudi Arabia
Introduction: Minimally invasive techniques have revolutionised surgical treatment. Few centers worldwide have advanced SILS for pediatric age group. Up to our knowledge there is no study comparing operative time of SILS/conventional chlocystectomy.
Aims: To determine the feasibility, safety, and expediency of SILS cholycystectomy in pediatric patients. To highlight the difficulties in this technique and discuss our strategies to address these issues and compare it with other published series.
Material & Methods: Retrospective study of all patients operated with SILS cholecystectomy from April, 2011 to May, 2018. Age of the patients ranged from 6 to 16 years. Covidien ® port was used in all cases. Articulating and straight regular instruments were used in the procedures.
Results: 48 patients under went SILS cholycystectomy over 7 years. One extra port was needed in 2 patients in the beginning of the series. 4 procedures were done simultaneously, 3 splenectomies, one appendectomy and one herniotomy. No conversion was needed. No wound infection. Mean operative time is 40 min ± 20 depends on the operator's skill and it is comparable with conventional technique
Conclusion: SILS cholycystectomy is safe, feasible and more cosmetic with almost invisible scar than conventional. More than one procedure could be done at the same time. The confusion of crossing image will be adapted after the first 10-15 min. Operative time is comparable with conventional technique.