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Single‐incision laparoscopic cholecystectomy for porcelain gallbladder: A case report
Author(s) -
Igami Tsuyoshi,
Usui Hiroaki,
Ebata Tomoki,
Yokoyama Yukihiro,
Sugawara Gen,
Takahashi Yu,
Nagino Masato
Publication year - 2013
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12008
Subject(s) - medicine , gallbladder , cholecystectomy , cystic artery , forceps , cystic duct , surgery , gallbladder stone , laparoscopic cholecystectomy , general surgery
Single‐incision laparoscopic cholecystectomy ( SILC ) has been performed in patients with gallbladder stones without inflammation. Porcelain gallbladder is a rare finding of chronic cholecystitis that is characterized by extensive calcification of the gallbladder wall. Herein we describe our experience with SILC for porcelain gallbladder with a successful outcome. A 67‐old‐year woman was diagnosed with porcelain gallbladder. We performed SILC using a SILS P ort and a 5‐mm forceps through the umbilical incision. Because a small amount of the omentum around the gallbladder was left to facilitate grasping the fundus, a view of both the cystic artery and the cystic duct was easily obtained. The operative time and the intraoperative blood loss were 66 min and less than 1 mL , respectively. The patient was discharged 3 days after surgery and was satisfied with the cosmetic results. Our procedure may represent an alternative to conventional laparoscopic cholecystectomy in patients with porcelain gallbladder.